Almagushi Nouf, Almadhi Leen, Aljomah Nadia, Albabtain Ibrahim
College of Medicine, King Saud bin Abdulaziz University for Health Sciences, 11362 Riyadh, Saudi Arabia.
Trauma and Acute Care Unit, Department of Surgery, King Saud University Medical City, 11362,Riyadh, Saudi Arabia.
J Surg Case Rep. 2023 Aug 4;2023(8):rjad229. doi: 10.1093/jscr/rjad229. eCollection 2023 Aug.
The presence of ectopic endometrial and myometrial tissue is referred to as endometriosis. The majority of cases of inguinal endometriosis are linked to prior uterine surgery. We present a 39-year-old female presented to the general surgery clinic in June 2013 with mild right inguinal pain and swelling. Enhanced computed tomography scan of the abdominal and pelvis revealed an elongated cystic mass in the right groin region. Diagnostic laparoscopy was performed and the uterus, both ovaries, and pouch of Douglas were examined. Two endometrial deposits were detected: on in the superoposteriar part of the uterus and another below the base of the right fallopian tube. In addition to the right inguinal hernia, a cystic lesion was noted on the surface of the round ligament. The entire round ligament, including the canal of Nuck, and cyst were dissected and excised completely. The right inguinal hernia was repaired.
异位子宫内膜组织和子宫肌层组织的存在被称为子宫内膜异位症。大多数腹股沟子宫内膜异位症病例与既往子宫手术有关。我们报告一例39岁女性，于2013年6月因轻度右侧腹股沟疼痛和肿胀就诊于普通外科门诊。腹部和盆腔增强计算机断层扫描显示右侧腹股沟区有一细长囊性肿块。进行了诊断性腹腔镜检查，检查了子宫、双侧卵巢和Douglas陷凹。发现两处子宫内膜沉积物：一处位于子宫后上部，另一处位于右侧输卵管底部下方。除右侧腹股沟疝外，在圆韧带表面还发现一个囊性病变。将整个圆韧带，包括Nuck管和囊肿进行解剖并完全切除。修复了右侧腹股沟疝。
