Husain Fahd, Siddiqui Zain Ahmed, Siddiqui Midhat
Peninsula College of Medicine and Dentistry, London, UK.
Faculty of Medicine in Hradec Králové, Charles University, Hradec Králové, Czech Republic.
BMJ Case Rep. 2015 Mar 11;2015:bcr2014208099. doi: 10.1136/bcr-2014-208099.
Endometriosis is a common clinical presentation for gynaecologists. Occasionally it can present to general surgeons as a swelling in the groin or abdominal wall. This condition should be included in the differential diagnosis in female patients. A 32-year-old woman with a 2-year history of a painful persistent lump in her right groin was referred to the general surgeons by her general practitioner. She was referred with a diagnosis of a suspected inguinal hernia. MRI excluded a hernia and exploration of the groin and subsequent histology confirmed the lesion to be an endometrial deposit.
子宫内膜异位症是妇科医生常见的临床病症。偶尔,它也会以腹股沟或腹壁肿物的形式出现在普通外科医生面前。在女性患者的鉴别诊断中应考虑到这种病症。一名32岁女性,右腹股沟处有一个持续疼痛的肿块,病史2年,由全科医生转诊至普通外科医生处。她被转诊时诊断为疑似腹股沟疝。磁共振成像(MRI)排除了疝的可能,对腹股沟进行探查及后续组织学检查证实该病变为子宫内膜沉积物。