Inguinal endometriosis: A case report

Kaushik, Rajni; Gulati, Anchana

doi:10.4103/0970-9371.42455

Cited by 10 publications

(13 citation statements)

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“…Two cases underwent repair of the underlying fascia and peritoneum. Our study is comparable to others [1,[4][5][6][7][8][9][10][11][12][13][14][15][16] that have show that total excision of the lesion is associated with no recurrence during follow-up. The mean follow-up period for our cases was 36 months.…”

Section: Discussionsupporting

confidence: 80%

“…Extrapelvic endometriosis has varied signs and symptoms depending on the location. [6][7][8] Cutaneous and umbilical endometriosis may occur in patients following gynaecological surgery or a caesarean section, owing to direct seeding after laparotomy or laparoscopy.[9]The theory of lymphatic or vascular dissemination is favoured in the case of umbilical endometriosis with coexisting pelvic endometriosis. [10,11] Primary umbilical endometriosis (PUE) is very rare, and not related to previous gynecological surgery or caesarean section.…”

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confidence: 99%

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Primary umbilical endometriosis: To scope or not to scope?

Chrysostomou

Branch

2017

S Afr J OG

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RESEARCHBackground. Primary umbilical endometriosis (PUE) is a rare condition affecting 0.5 -1% of all cases of extragenital endometriosis. The method of using routine laparoscopic inspection of the pelvis to exclude pelvic endometriosis has been applied extensively over the years. It has been demonstrated that even patients who have had no previous pelvic surgery or caesarean section, and have no symptoms of pelvic endometriosis or history of infertility, have presented with this condition. Objective. To investigate whether patients with PUE should always undergo a laparoscopy to exclude pelvic endometriosis. Methods. The study included women presenting with a history of painful umbilical nodules or bleeding from the umbilical nodule during or after menstruation in the absence of previous surgery either for gynecological disorders or caesarean section. The study began in January 2010 and ended in December 2016. All patients underwent umbilical biopsy confirming the presence of umbilical endometriosis before the diagnostic laparoscopy took place. Results. Fourteen patients with cutaneous (scar) and umbilical endometriosis attended the clinic during the study period. Of these, only six cases (42.8%) met the inclusion criteria of PUE clinically, and underwent diagnostic laparoscopy. Their mean age was 31.1 years (range 23 -48), and the mean parity was 1.1 (range 0 -3), with no history of previous pelvic surgery or caesarean section. Biopsies of the lesions confirmed the presence of endometrial tissue (gland and stroma) and haemorrhage. Diagnostic laparoscopy that took place immediately after the excision of umbilical endometriosis revealed no pelvic endometriosis. Conclusion. A laparoscopy to exclude pelvic endometriosis should not be undertaken in patients who present with PUE, as there is a potential risk of introducing endometriosis into the pelvic cavity. Additionally, there is a risk of exposing the patient to unnecessary intervention and possible complications associated with the procedure. Endometriosis is defined by the presence of functional endometrial glands and stroma outside the endometrial cavity. It is a common gynaecological condition that affects up to 22% of all women (8 -15% of women of reproductive age, and 6% of premenopausal women). [1,2] The aetiology of endometriosis remains unclear; it is considered to be a 'disease of theories' , with its pathophysiology only partially understood. Endometriosis usually occurs within the pelvic cavity. Common locations are the uterine wall, the fallopian tubes, the ovaries and the pelvic peritoneum. [3][4][5] Pelvic endometriosis presents clinically with a triad of symptoms: pain (chronic pelvic pain and dysmenorrhea), menorrhagia and infertility. S Afr J Obstet GynaecolExtrapelvic endometriosis affects up to 15% of patients, and can be found in almost all the organs (such as bowel, bladder, pericardium, pleura and even the brain). Extrapelvic endometriosis has varied signs and symptoms depending on the location. [6][7][8] Cutaneous and umbilical endometri...

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Section: Discussionsupporting

confidence: 80%

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confidence: 99%

Primary umbilical endometriosis: To scope or not to scope?

Chrysostomou

Branch

2017

S Afr J OG

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“…[610] The presence of any two of the three components (endometrial glands, stromal cells and hemosiderin laden macrophages) has been used for the cytological diagnosis of endometriosis. [5] The cytological features of scar endometriosis are related to cyclical hormonal changes.…”

Section: Discussionmentioning

confidence: 99%

Scar endometriosis

Pathan

Dinesh

Rao

2010

J Cytol

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Endometriosis is the presence of functioning endometrium outside the uterus. Endometriosis rarely occurs in the abdominal wall. Majority of abdominal wall endometriosis occur in or adjacent to surgical scars, following caesarean section or hysterectomy. Laparotomy scar endometriosis following salpingectomy for ectopic pregnancy has rarely been reported. We report a case of scar endometriosis following laparotomy for chronic ectopic, and diagnosed by fine needle aspiration cytology (FNAC). Excision biopsy confirmed the FNAC diagnosis of scar endometriosis.

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“…Inguinal endometriosis was first reported by Allen in 1896 (3,4,5). Patients with inguinal endometriosis complain of inguinal mass and pain, in particular, acute pain during menstrual cycles (2,6). The mechanism of iodine uptake in endometriosis is not yet clear, and iodine uptake in inguinal endometriosis has not been previously described in the literature.…”

Section: öZmentioning

confidence: 99%

Inguinal Endometriosis Visualized on I-131 Whole Body Scan

Çayir

Araz

Apaydın

et al. 2018

Mirt

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We present a rare case with inguinal iodine-131 (I-131) uptake on whole body scan. The patient was suffering from a painful right inguinal mass during menstrual period, which was later sonographically and histopathologically confirmed to be an inguinal focus of endometriosis. Endometriosis is a previously reported site of radioiodine uptake and detection of radioiodine uptake in the inguinal region has also been described. Nevertheless, to the best of our knowledge, this is the first case report of I-131 uptake in an inguinal endometriosis focus. History and physical examination of the patient are both very important in identifying the etiology of the ectopic uptake sites on I-131 whole body scan, and inguinal endometriosis should be kept in mind while reporting inguinal radioiodine uptake on I-131 whole body scan.

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Inguinal endometriosis: A case report

Cited by 10 publications

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Primary umbilical endometriosis: To scope or not to scope?

Primary umbilical endometriosis: To scope or not to scope?

Scar endometriosis

Inguinal Endometriosis Visualized on I-131 Whole Body Scan

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