Endometriosis of the round ligament: description of a clinical case and review of the literature

Licheri, S; Pisano, Giuseppe; Erdas, Enrico; Ledda, S; Casu, Barbara; Cherchi, Manuela; Pomata, M; Daniele, Giovanni Maria

doi:10.1007/s10029-004-0314-6

Cited by 45 publications

(32 citation statements)

References 11 publications

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“…The condition is predominantly found in women of reproductive age, and most endometrioses occur in pelvic organs and in the peritoneum [2]. While the prevalence of pelvic endometriosis is reported to be 6-10% in the general female population [2], extrapelvic endometriosis is less frequently reported [2,3]. Among extrapelvic endometrioses, inguinal endometriosis (IEM) has been reported to occur in 0.3-0.6% of patients affected by endometriosis [3].…”

Section: Introductionmentioning

confidence: 99%

“…While the prevalence of pelvic endometriosis is reported to be 6-10% in the general female population [2], extrapelvic endometriosis is less frequently reported [2,3]. Among extrapelvic endometrioses, inguinal endometriosis (IEM) has been reported to occur in 0.3-0.6% of patients affected by endometriosis [3]. IEM occurs predominantly at the right groin area, presenting as a groin mass and/or groin pain that is often associated with the menstrual cycle [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

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Clinical Characteristics and Surgical Treatment for Inguinal Endometriosis in Young Women of Reproductive Age

et al. 2018

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Aim: To study the characteristics and surgical treatment of inguinal endometriosis (IEM), which can occur in women of reproductive age. Methods: Patients who underwent groin surgery at the Hiroshima City Funairi Citizens Hospital between 2004 and 2017 were retrospectively examined. Patients with IEM were divided into 3 groups based on the site of occurrence as follows: at a hernia sac or hydrocele of Nuck’s canal (type I), round ligament (type II), or subcutaneous area (type III). Clinical characteristics were compared among groups. Results: Of 2,798 patients investigated, 28 were pathologically diagnosed as having IEM with 15, 10, and 3 classified as type I, II, and III respectively. All patients presented with a mass (median 20 mm) and/or bulge that mainly occurred at the right inguinal region. Sixteen patients presented with inguinal pain associated with menstruation. While the groups did not differ in terms of most clinical characteristics, the lack of a preoperative diagnosis of IEM occurred more frequently for type I than for types II and III. Conclusions: Because IEM-type I might be underdiagnosed preoperatively, complete resection of a hernia sac or hydrocele of Nuck’s canal with subsequent pathological examination is required for women of reproductive age with an inguinal disease.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinical Characteristics and Surgical Treatment for Inguinal Endometriosis in Young Women of Reproductive Age

et al. 2018

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“…After reviewing the literature, it was possible to add another seven cases to the 61 reported by Proposito et al in 2002 [1,12,13]. It is interesting to note that more than half of these cases ( 62% ) date back 20 years, and that these data show that inguinal endometriosis is a pathology that has been previously underestimated.…”

Section: Discussionmentioning

confidence: 83%

Endometriosis of the round ligament revealed by an intermittent hernia

et al. 2006

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Endometriosis is a common gynaecological pathology with pelvic and extra-pelvic localisations. We report a case of endometriosis of the round ligament revealed by an intermittent hernia. The endometriosis of the round ligament is unusual and the diagnosis may be difficult. The appearance of a roundish lump in the inguinal region associated with pain in relation to the menstrual cycle must raise the suspicion of endometriosis among the possible diagnosis. Ultrasonography and magnetic resonance imaging are the most useful examinations. But it is the histological examination of the surgical specimen that confirms the diagnosis.

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“…It accounts for 0.3–0.6% of patients affected by endometriosis 2. Till date, about 70 cases have been reported in literature 3. The groin swelling is usually slow growing, painful with exacerbations during menses.…”

Section: Discussionmentioning

confidence: 99%

Endometriosis of extra-pelvic round ligament, a diagnostic dilemma for physicians

et al. 2013

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A 49-year-old multiparous woman presented with a swelling in the left groin of 6 months duration. The swelling was associated with a dull aching pain. The patient reported increase in size of the swelling during lifting of heavy weights. Menstrual history was normal and there was no increase in pain over the swelling during menstruation. She underwent a caesarean section 20 years ago and the scar had healed by primary intention. She was provisionally diagnosed to have a left-sided inguinal hernia. Ultrasonography showed a multiloculated cyst measuring 5.3×1.5×5.2 cm within the inguinal canal. The patient had excision of the cyst under spinal anaesthesia. Intraoperatively the cyst was found to arise from the left round ligament. It measured 7×6 cm extending to the left lateral vaginal wall. Histopathology revealed endometriosis of the round ligament. Her gynaecological assessment was normal and they recommended no further treatment. On follow-up the patient was asymptomatic and wound had healed well.

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Endometriosis of the round ligament: description of a clinical case and review of the literature

Cited by 45 publications

References 11 publications

Clinical Characteristics and Surgical Treatment for Inguinal Endometriosis in Young Women of Reproductive Age

Clinical Characteristics and Surgical Treatment for Inguinal Endometriosis in Young Women of Reproductive Age

Endometriosis of the round ligament revealed by an intermittent hernia

Endometriosis of extra-pelvic round ligament, a diagnostic dilemma for physicians

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