Ayuste Eduardo C, Limpin Emmanuel T, Laygo Jemuel C, Ocampo Orlando O, Paloyo Siegfredo R
University of the Philippines-Philippine General Hospital, Department of Surgery, Philippines; College of Medicine, University of the Philippines-Manila, Philippines.
University of the Philippines-Philippine General Hospital, Department of Surgery, Philippines.
Int J Surg Case Rep. 2022 Apr;93:106953. doi: 10.1016/j.ijscr.2022.106953. Epub 2022 Mar 15.
Endometriosis is a chronic benign recurrent gynecologic disease commonly affecting 10% of women worldwide wherein endometrial glands implant and mature outside the uterine cavity causing symptoms such as dysmenorrhea, dyspareunia, or abdominal pain.
Herein we describe a case of a 40-year-old female with primary bilateral inguinal endometriosis presenting with catamenial pain for which surgical excision was performed providing definitive treatment. The patient has been asymptomatic with no recurrence at 6 months of follow-up.
Most cases of endometriosis occur within the pelvis however, extra-pelvic sites have been reported which include previous surgical scars, bladder, diaphragm, or inguinal area. It is usually classified as primary or secondary but can also be based on location. Oftentimes, these patients can present as a diagnostic dilemma for clinicians and treatment requires surgery and/or medications such as oral contraceptives or hormonal agents. Common diagnoses include hernia, lipoma, lymphadenopathy, or even malignancy.
We would like to highlight the atypical presentation, pathogenesis, and management of endometriosis in this rare site.
子宫内膜异位症是一种慢性良性复发性妇科疾病，全球约10%的女性受其影响。子宫内膜腺体在子宫腔外着床并成熟，引发痛经、性交困难或腹痛等症状。
在此，我们描述一例40岁原发性双侧腹股沟子宫内膜异位症女性病例，该患者因经期疼痛接受了手术切除，从而得到了确切治疗。患者在随访6个月时无症状且无复发。
大多数子宫内膜异位症病例发生在盆腔内，然而，也有报道称其发生在盆腔外部位，包括既往手术瘢痕、膀胱、膈肌或腹股沟区。它通常分为原发性或继发性，也可根据位置分类。通常，这些患者会给临床医生带来诊断难题，治疗需要手术和/或药物，如口服避孕药或激素制剂。常见诊断包括疝气、脂肪瘤、淋巴结病，甚至恶性肿瘤。
我们想强调这种罕见部位子宫内膜异位症的非典型表现、发病机制和管理。
