Mehdizadeh Abolfazl, Chaichian Shahla, Mirgaloybayat Shahla, Rokhgireh Samaneh, Tahermanesh Kobra, Kadivar Maryam, Farzaneh Farahnaz
Endometriosis Research Center, Iran University of Medical Sciences, Tehran, Iran.
Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Tehran, Iran.
Int J Reprod Biomed. 2022 Feb 18;20(1):59-64. doi: 10.18502/ijrm.v20i1.10409. eCollection 2022 Jan.
The first case of inguinal endometriosis was described by Cullen. Endometriosis in the round ligament could be in the pelvic or inguinal area and is a rare disease occurring in 0.6% of women. Women with inguinal endometriosis have a painful inguinal mass during menstrual cycles and they mostly have a history of surgery. The right side is more commonly involved in inguinal endometriosis than the left side (90-94%). A history of gynecologic or abdominal surgery is common in women with inguinal endometriosis.
In our case, a 39-yr-old virgin woman presented with localized pain in the right inguinal that had been present for 4 yr. She did not have any history of previous surgery, and abdominal ultrasonography showed a hypoechoic mass with minimal vascularity. Inguinal endometriosis was correctly diagnosed by two expert radiologists preoperatively, and she underwent laparoscopic surgery.
Considering inguinal endometriosis in the differential diagnosis of women with inguinal masses is important, even if there is no history of gynecologic or abdominal surgery.
库伦首次描述了腹股沟子宫内膜异位症。圆韧带子宫内膜异位症可位于盆腔或腹股沟区，是一种罕见疾病，在0.6%的女性中发生。患有腹股沟子宫内膜异位症的女性在月经周期中有腹股沟疼痛性肿块，且大多有手术史。腹股沟子宫内膜异位症右侧比左侧更常受累（90 - 94%）。有妇科或腹部手术史在患有腹股沟子宫内膜异位症的女性中很常见。
在我们的病例中，一名39岁的未婚女性出现右侧腹股沟局部疼痛4年。她没有任何既往手术史，腹部超声显示一个低回声肿块，血管较少。两名专家放射科医生术前正确诊断为腹股沟子宫内膜异位症，她接受了腹腔镜手术。
即使没有妇科或腹部手术史，在对有腹股沟肿块的女性进行鉴别诊断时考虑腹股沟子宫内膜异位症也很重要。
