Isolated inguinal endometriosis. Case report with ultrasonographic preoperative diagnosis

Calò, Pietro Giorgio and Esu, F. and Tatti, Alberto and Pilloni, Alberto and Medas, F. and Pisano, Giuseppe and Nicolosi, Angelo (2011) Isolated inguinal endometriosis. Case report with ultrasonographic preoperative diagnosis. Il giornale di chirurgia, 32 (5). pp. 263-265. ISSN 1971-145X

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nguinal endometriosis is rare and accounts for 0.3-0.6% of patients affected by endometriosis. A correct preoperative diagnosis is rare. Diagnosis is frequently made by histologic examination. A 36-year-old nulliparous woman presented with a painful mass in her right groin of 2 years duration. The pain fluctuated according to the menstrual period. Physical examination revealed an elastic hard mobile mass measuring 2x2 cm in the right inguinal region. Ultrasound examination confirmed a hypoechoic tumor in the right inguinal region with poorly defined boundaries and perilesional and intralesional vascular flow suspect for endometriosis. Wide excision of the lump with a part of the round ligament was carried out. Histology showed endometrial glands and stroma within the fibrous tissue. The patient had an uneventful recovery and was discharged the next day. After surgery, the pain disappeared completely. No signs of recurrence occurred at approximately 16 months after the surgery. Although rare, extrapelvic endometriosis should be considered in the differential diagnosis in women of reproductive age presenting with an inguinal mass, especially if the groin mass is associated in size and tenderness with menstrual variability. US appearance is very useful in diagnosis so ultrasonography can be considered the examination of choice.

Item Type: Article
Uncontrolled Keywords: Endometriosi - Regione inguinale - Legamento rotondo - Diagnosi
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User: Nadia Del Gobbo
Date Deposited: 05 May 2016 10:53
Last Modified: 05 May 2016 10:53

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