Right-side inguinal canal endometriosis at ultrasound: A case report

Abstract Background: The first case of inguinal endometriosis was described by Cullen. Endometriosis in the round ligament could be in the pelvic or inguinal area and is a rare disease occurring in 0.6% of women. Women with inguinal endometriosis have a painful inguinal mass during menstrual cycles...

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Main Authors: Abolfazl Mehdizadeh (Author), Shahla Chaichian (Author), Shahla Mirgaloybayat (Author), Samaneh Rokhgireh (Author), Kobra Tahermanesh (Author), Maryam Kadivar (Author), Farahnaz Farzaneh (Author)
Format: Book
Published: Shahid Sadoughi University of Medical Sciences, 2022-01-01T00:00:00Z.
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Summary:Abstract Background: The first case of inguinal endometriosis was described by Cullen. Endometriosis in the round ligament could be in the pelvic or inguinal area and is a rare disease occurring in 0.6% of women. Women with inguinal endometriosis have a painful inguinal mass during menstrual cycles and they mostly have a history of surgery. The right side is more commonly involved in inguinal endometriosis than the left side (90-94%). A history of gynecologic or abdominal surgery is common in women with inguinal endometriosis. Case presentation: In our case, a 39-yr-old virgin woman presented with localized pain in the right inguinal that had been present for 4 yr. She did not have any history of previous surgery, and abdominal ultrasonography showed a hypoechoic mass with minimal vascularity. Inguinal endometriosis was correctly diagnosed by two expert radiologists preoperatively, and she underwent laparoscopic surgery. Conclusion: Considering inguinal endometriosis in the differential diagnosis of women with inguinal masses is important, even if there is no history of gynecologic or abdominal surgery.
Item Description:2476-4108
2476-3772
10.18502/ijrm.v20i1.10409