Inguinal Endometriosis

Inguinal Endometriosis: An Uncommon Differential Diagnosis as an Inguinal Tumour

“…Table 1 summarized the reported cases in the literature. About 90% of reported cases of extraperitoneal endometriosis occur in the right inguinal area [ 4 , 6 , 10 , 11 ] as was noted on the patient in this case.…”

“…This view is shared by other authors (Goh and Flynn [10] 1994; Batistta Candiani et al [11] 1991) because of the association with pelvic endometriosis and subfertility [10, 11]. On the other hand, Seydel et al [3] did not see the need to perform laparoscopy in patients who do not present with signs of pelvic endometriosis [3].…”

“…Inguinal endometriosis was first reported by Allen in 1896, but since then only a little more than 30 cases have been described [ 3 , 6 , 10 , 11 ]. Battista Candiani et al [ 11 ] reported six cases of inguinal endometriosis and they noted the mean age at diagnosis was 31 years [ 11 ].…”

“…Although the typical complaints of patients with pelvic endometriosis include dysmenorrhoea, menstrual irregularities, dyspareunia, and infertility, patients with extrapelvic endometriosis like inguinal endometriosis present with unusual symptoms and occasionally, a diagnostic dilemma [ 6 ]. Periodic menstrual pain at the mass is sometimes the primary complaint [ 3 , 10 , 11 ]. Patients often present with a painful lump in the groin and premenstrual tenderness and/or swelling [ 6 , 9 , 10 ].…”

“…Periodic menstrual pain at the mass is sometimes the primary complaint [ 3 , 10 , 11 ]. Patients often present with a painful lump in the groin and premenstrual tenderness and/or swelling [ 6 , 9 , 10 ]. A history of a previous gynecologic procedure or surgical trauma is also contributory [ 3 , 6 ].…”