Endometriosis of the inguinal region. A case report.

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  • MATSUO Yoichi
    Department of Surgery, Toyota Medical Corporation, Kariya General Hospital
  • HAYASHI Syusaku
    Department of Surgery, Toyota Medical Corporation, Kariya General Hospital
  • USAMI Shizuo
    Department of Surgery, Toyota Medical Corporation, Kariya General Hospital
  • ISHIKAWA Masakazu
    Department of Surgery, Toyota Medical Corporation, Kariya General Hospital
  • KATO Katsumi
    Department of Surgery, Toyota Medical Corporation, Kariya General Hospital
  • UEDA Takuya
    Department of Surgery, Toyota Medical Corporation, Kariya General Hospital

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  • 鼠径部子宮内膜症の１例

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Abstract

We report a case of endometriosis of the inguinal region which is relatively rare. A 40-year-old woman was admitted to the hospital because of a painful right inguinal mass during menstruations. Based on her clinical history and radiological findings, endometriosis of the right inguinal region was diagnosed. At surgery, the tumor extended the extraperitoneal portion of the round ligament and adhered firmly to around tissues. So this tumor was excised completely with firm and adhered tissues. Endometriosis was confirmed pathologically. Postoperative course was uneventful. There have been no recurrent signs as of one year 3 months.<br> This case is believed to be the 41st case on record in Japan. The average age of these patients is 39 years old and this disease has a preference for the right side. The preoperative correct diagnosis was made in 32% of the reported cases. Medical history of pain and a swelling aggravated during menstruation is a very useful clue for diagnosis. The primary treatment is complete surgical excision and the extensive lesion must be removed from the operative field because there is a report of recurrence.<br> Some discussion on the etiology and management of endometriosis of the inguinal region is also presented.

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