Ducarme G, Uzan M, Poncelet C
Department of Obstetrics and Gynecology, Assistance Publique, Hôpitaux de Paris, CHU Jean Verdier, Avenue du 14 Juillet, 93140, Bondy, France.
Hernia. 2007 Apr;11(2):175-7. doi: 10.1007/s10029-006-0159-2. Epub 2006 Nov 22.
Endometriosis is a common gynecologic condition and has been described in several locations, mostly in the pelvis. Extragenital endometriosis may appear as a painful nodule evoking an inguinal hernia. Scar endometriosis after inguinal hernia repair seems to be a rare occurrence. We report an unusual case of a 28-year-old woman who developed a scar endometriosis 2 years after an inguinal hernia repair. This case highlights that the presence of a painless inguinal mass similar to a recurrent hernia, with possible swelling related to the menstrual cycle, may evoke endometriosis, especially after a previous hernia repair and should lead to prompt diagnosis, wide excision, and gynecological advice.
子宫内膜异位症是一种常见的妇科疾病，已在多个部位被描述，主要位于盆腔。生殖器外子宫内膜异位症可能表现为引起腹股沟疝的疼痛性结节。腹股沟疝修补术后的瘢痕子宫内膜异位症似乎很少见。我们报告了一例不寻常的病例，一名28岁女性在腹股沟疝修补术后2年发生了瘢痕子宫内膜异位症。该病例强调，出现类似于复发性疝的无痛性腹股沟肿块，且可能与月经周期相关的肿胀，可能提示子宫内膜异位症，尤其是在既往有疝修补术后，应及时诊断、广泛切除并寻求妇科建议。
