Inguinal endometriosis connected to intraperitoneal round ligament: Complete excision with extraperitoneal wide dissection / 대한산부인과학회지
Korean Journal of Obstetrics and Gynecology
;
: 1533-1538, 2008.
Article
Dans Anglais
| WPRIM
| ID: wpr-29191
ABSTRACT
Inguinal endometriosis is a rare gynecologic disease. A 43-year-old woman had felt small nodular mass, which causing cyclic groin pain and fluctuation with menstrual cycle. CT scan revealed the extraperitoneal inguinal mass connected to the left round ligament. During the operation, infiltrative fibrotic mass around the inguinal mass could only be excised with wide groin dissection. After dissection of the abdominal muscles, the intraperitoneal mass could be pulled out and excised at the level of the intact round ligament. Histological diagnosis at the excised mass was endometriosis. After the surgery, the pain disappeared completely. We have reviewed published articles concerning inguinal endometriosis. The mechanism of development of inguinal endometriosis seems to be to that of indirect hernia with a difference of disappearing hernia sac resulting from inflammation of endometriosis. About half of the patients revealed periodicity such as cyclic pain or fluctuation of pain with menstral cycle. We describe the complete surgical excision of extraperitoneal inguinal endometriosis connected to round ligament endometriosis. Successful treatment can be achieved with understanding of the pathophysiology and anatomy related to the inguinal endometriosis.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Périodicité
/
Ligament rond de l'utérus
/
Muscles abdominaux
/
Endométriose
/
Maladies de l'appareil génital féminin
/
Aine
/
Hernie
/
Inflammation
/
Cycle menstruel
Limites du sujet:
Adulte
/
Femelle
/
Humains
langue:
Anglais
Texte intégral:
Korean Journal of Obstetrics and Gynecology
Année:
2008
Type:
Article
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