Inguinal Endometriosis: Pathogenetic and Clinical Implications

In six women with a preoperative diagnosis of incarcerated hernia, surgical exploration of the groin revealed inguinal endometriosis and no hernia. The affected structure was always the extraperitoneal portion of the round ligament. Six of the seven lesions were on the right. Intraperitoneal endomet...

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Veröffentlicht in:Obstetrics and gynecology (New York. 1953) 1991-08, Vol.78 (2), p.191-191
Hauptverfasser: BATTISTA CANDIANI, GIOVANNI, VERCELLINI, PAOLO, FEDELE, LUIGI, VENDOLA, NICOLETTA, CARINELL, SILVESTRO, SCAGLIONE, VINCENZO
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container_end_page 191
container_issue 2
container_start_page 191
container_title Obstetrics and gynecology (New York. 1953)
container_volume 78
creator BATTISTA CANDIANI, GIOVANNI
VERCELLINI, PAOLO
FEDELE, LUIGI
VENDOLA, NICOLETTA
CARINELL, SILVESTRO
SCAGLIONE, VINCENZO
description In six women with a preoperative diagnosis of incarcerated hernia, surgical exploration of the groin revealed inguinal endometriosis and no hernia. The affected structure was always the extraperitoneal portion of the round ligament. Six of the seven lesions were on the right. Intraperitoneal endometriosis was demonstrated in all patients. Catamenial pain was the pathognomonic symptom in the differential diagnosis of the inguinal mass. Gynecologists and surgeons should bear in mind the possibility that endometriosis may be the cause of symptoms of a suspected incarcerated inguinal hernia. Should this disease be detected at inguinal exploration, a laparoscopy is indicated during the same operation.
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The affected structure was always the extraperitoneal portion of the round ligament. Six of the seven lesions were on the right. Intraperitoneal endometriosis was demonstrated in all patients. Catamenial pain was the pathognomonic symptom in the differential diagnosis of the inguinal mass. Gynecologists and surgeons should bear in mind the possibility that endometriosis may be the cause of symptoms of a suspected incarcerated inguinal hernia. 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ispartof Obstetrics and gynecology (New York. 1953), 1991-08, Vol.78 (2), p.191-191
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1873-233X
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source MEDLINE; Journals@Ovid Complete
subjects Adult
Biological and medical sciences
Diagnosis, Differential
Endometriosis - diagnosis
Female
Female genital diseases
Genital Neoplasms, Female - diagnosis
Gynecology. Andrology. Obstetrics
Hernia, Inguinal - diagnosis
Humans
Inguinal Canal
Medical sciences
Middle Aged
Round Ligament of Uterus
Tumors
title Inguinal Endometriosis: Pathogenetic and Clinical Implications
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