Candiani G B, Vercellini P, Fedele L, Vendola N, Carinelli S, Scaglione V
First Department of Obstetrics and Gynecology, University of Milano School of Medicine, Italy.
Obstet Gynecol. 1991 Aug;78(2):191-4.
In six women with a preoperative diagnosis of incarcerated hernia, surgical exploration of the groin revealed inguinal endometriosis and no hernia. The affected structure was always the extraperitoneal portion of the round ligament. Six of the seven lesions were on the right. Intraperitoneal endometriosis was demonstrated in all patients. Catamenial pain was the pathognomonic symptom in the differential diagnosis of the inguinal mass. Gynecologists and surgeons should bear in mind the possibility that endometriosis may be the cause of symptoms of a suspected incarcerated inguinal hernia. Should this disease be detected at inguinal exploration, a laparoscopy is indicated during the same operation.
在6例术前诊断为嵌顿疝的女性患者中，腹股沟手术探查发现为腹股沟子宫内膜异位症而非疝。受累结构始终是圆韧带的腹膜外部分。7处病变中有6处在右侧。所有患者均证实有腹腔内子宫内膜异位症。月经性疼痛是腹股沟肿块鉴别诊断中的特征性症状。妇科医生和外科医生应牢记，子宫内膜异位症可能是疑似嵌顿性腹股沟疝症状的病因。如果在腹股沟探查时发现这种疾病，应在同一次手术中进行腹腔镜检查。
