Heistermann P, Rupp D, Hohlbach G
Marienhospital Herne, Chirurgische Klinik, Ruhr-Universität Bochum.
Zentralbl Chir. 1994;119(1):50-3.
A case of endometriosis infiltrating the inguinal ligament is presented. As a rare condition involving of the extraperitoneal portion of the round ligament was not seen. Ultrasonography revealed a hypoechoic tumor with internal anechoic areas. Surgical exploration was carried out in the assumption of a relapse of an inguinal hernia. Microscopically, endometrial glands, fibrosis and old hemorrhage were seen. Laparoscopy revealed no evidence of pelvic endometriosis. We conclude that endometriosis must be considered in the differential diagnosis of palpable lesions of the groin in women of reproductive age. Surgery in cooperation with the gynecologist is the treatment of choice.
本文报告一例子宫内膜异位症浸润腹股沟韧带的病例。作为一种罕见情况,未见涉及圆韧带腹膜外部分。超声检查显示一个低回声肿瘤,内部有无回声区。手术探查是在腹股沟疝复发的假设下进行的。显微镜下可见子宫内膜腺体、纤维化和陈旧性出血。腹腔镜检查未发现盆腔子宫内膜异位症的证据。我们得出结论,在育龄女性腹股沟可触及病变的鉴别诊断中必须考虑子宫内膜异位症。与妇科医生合作进行手术是首选治疗方法。