Lajer Henrik, Kristensen Jens, Kjer Jens Jørgen
Kollelevbakken 16, DK-2830 Virum.
Ugeskr Laeger. 2009 Feb 2;171(6):437.
Inguinal endometriosis is a rare manifestation of endometriosis. Four cases are presented. In three of these cases proper diagnosis was delayed due to differential diagnostic difficulties as the symptoms in these cases were interpreted as hernia. In two cases the patient underwent hernia surgery. In inguinal lump cases in fertile women, endometriosis should be considered if accompanied by dysmenorrhoea or deep dyspareunia. In such cases MRI (magnetic resonance imaging) scans often yield further diagnostic information. If surgery is needed, it should be performed in a gynaecological setting to facilitate full surgical intervention including abdominal laparoscopy and excision.
腹股沟子宫内膜异位症是子宫内膜异位症的一种罕见表现形式。本文介绍了4例病例。其中3例由于鉴别诊断困难导致诊断延误,因为这些病例的症状被误诊为疝气。2例患者接受了疝气手术。对于育龄期女性出现腹股沟肿块的情况,如果伴有痛经或深部性交困难,应考虑子宫内膜异位症。在这种情况下,磁共振成像(MRI)扫描通常能提供更多诊断信息。如果需要手术,应在妇科环境中进行,以便进行全面的手术干预,包括腹部腹腔镜检查和切除。