Jack in the box: inguinal endometriosis
Deeksha Pandey1, Ambika Coondoo2, Jyothi Shetty1
1Department of OBGYN, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
Insights
Endometriosis, a condition involving uterine lining tissue outside the uterus, can manifest as inguinal swelling. This case highlights round ligament endometriosis, emphasizing the need to consider cyclical symptoms in women of reproductive age.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Endometriosis is a complex condition characterized by the presence of endometrial tissue outside the uterine cavity.
- It commonly affects pelvic organs but can occur ectopically in various body locations.
- Round ligament endometriosis is a rare presentation, often misdiagnosed as inguinal hernia.
Abstract:
A 39-year-old woman with a left-sided inguinal swelling was referred to us with a diagnosis of inguinal hernia. On asking leading questions, the patient gave a typical history of cyclical pain and increased swelling during menstruation. Fine-needle aspiration biopsy revealed endometrial glands. Preoperatively, the extent of the endometriotic lesion was delineated using MRI. The lesion was approached through the patient's caesarean scar for cosmetic reasons and excised in toto. Final diagnosis was round ligament endometriosis. The patient was asymptomatic at 3, 6 and 12 months' follow-up. This case re-emphasises the fact that endometriosis is an enigmatic disease and can be found anywhere in the body. Thus, a woman of reproductive age presenting with any cyclical symptom should be asked about its relation to her menstrual cycle.
Related Concept Videos
01:19Abdominal Regions and Quadrants
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
01:15External Female Genitals
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
01:20Disorders of the Male Reproductive System
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
01:21Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
01:22Appendicitis-I: Introduction
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...