Endometriosis presenting as an acute groin swelling: a case report
Tóm tắt
Many conditions present as groin swellings, in both the elective and emergency setting. The management of these conditions varies widely, thus a prompt and accurate diagnosis is important. A 27 year old female presented with an acute painful swelling in her right groin. A preliminary diagnosis of an incarcerated femoral hernia led to urgent surgical exploration. Histology of the excised tissue showed appearances consistent with endometriosis. Endometriosis is an unusual cause of an acute groin mass, which should be considered as a differential diagnosis in women of childbearing age.
Tài liệu tham khảo
Investigation and management of endometriosis, RCOG Guideline No. 24 [http://www.rcog.org.uk/resources/public/pdf/endometriosis_gt_24_2006.pdf].
Moloney GE: Endometriosis of the groin; report of three cases. Br Med J. 1949, 1: 435-437. 10.1136/bmj.1.4601.435.
Clausen I, Nielsen KT: Endometriosis in the groin. Int J Gynaecol Obstet. 1987, 25: 469-471. 10.1016/0020-7292(87)90064-6.
Hagiwara Y, Hatori M, Moriya T, Terada Y, Yaegashi N, Ehara S, Kokubun S: Inguinal endometriosis attaching to the round ligament. Australas Radiol. 2007, 51: 91-94. 10.1111/j.1440-1673.2006.01667.x.
Mashfiqul MA, Tan YM, Chintana CW: Endometriosis of the inguinal canal mimicking a hernia. Singapore Med J. 2007, 48: e157-e159.
Pérez-Seoane C, Vargas J, de Agustín P: Endometriosis in an inguinal crural hernia. Diagnosis by fine needle aspiration biopsy. Acta Cytol. 1991, 35: 350-352.
Kamio M, Nagata T, Yamasaki H, Yoshinaga M, Douchi T: Inguinal hernia containing functioning, rudimentary uterine horn and endometriosis. Obstet Gynecol. 2009, 113: 563-566.