Whose surgery is this? Endometriosis of the round ligament

Whose surgery is this? Endometriosis of the round ligament

Authors

  • Michele Mongelli a:1:{s:5:"en_US";s:41:"Università degli studi di Bari Aldo Moro";}
  • Gennaro Cormio
  • Giuseppe Giudice
  • Francesco Legge
  • Leonardo Resta
  • Michele Lambo
  • Luca Leone
  • Marco Marinaccio
  • Vera Loizzi University of Bari “Aldo Moro", Interdisciplinar Department of Medicine, Obstetrics and Gynecology Unit, Bari, Italy
  • Francesca Arezzo
  • Ettore Cicinelli
  • Viviana Cataldo

Keywords:

endometriosis, round ligament, inguinal lump

Abstract

We report two cases of endometriosis of the round ligament in a 37 and 26 - years old women, with a lump in their right groin and catamenial pain referred to plastic surgery department. MRI showed in both cases nodular lesion in the right inguinal region. The patological examination of the surgical specimen revealed endometriosis of the round ligament.

The presence of a groin mass with pain increasing during the menstrual period must raise the suspicion of inguinal endometriosis and a gynecological evaluation is essential to provide a correct management of this rare condition.

References

Astore L (1980) In tema di localizzazioni infrequenti della cosiddetta ''endometriosi esterna'' (intestinale, inguinale, ombelicale, su cicatrice). Arch De Vecchi Anat Patol 64:19-58

Bergqvist A (1993) Different types of extragenital endometri- osis: a review. Gynecol Endocrinol 7:207-221

Kapan M, Kapan S, Durgun AV, Goksoy E. Inguinal endometriosis. Arch Gynecol Obstet. 2005 Jan;271(1):76-8

Calò PG, Esu F, Tatti A, Pilloni L, Madas F, Pisano G, Nicolosi A. Isolated inguinal endometriosis. Case report with ultrasonographic preoperative diagnosis. G Chir 2011; 32: 263-5.

Strasser EJ, Davis RM. Extraperitoneal inguinal endometriosis. Am Surg. 1977 Jun;43(6):421-2.

Candiani GB, Vercellini P, Fedele L, Vendola N, Carinelli S, Scaglione V. Inguinal endometriosis: pathogenetic and clinical implications. Obstet Gynecol. 1991 Aug;78(2):191-4

Singh KK, Lessells AM, Adam DJ, Jordan C, Miles WF, Macintyre IM, Greig JD. Presentation of endometriosis to general surgeons: a 10-year experience. Br J Surg. 1995 Oct;82(10):1349-51.

Irvin W, Pelkey T, Rice L, Andersen W. Endometrial stromal sarcoma of the vulva arising in extraovarian endometriosis: a case report and literature review. Gynecol Oncol. 1998 Nov;71(2):313-6

Nabeta M, Abe Y, Haraguchi R, Kito K, Kusanagi Y, Ito M. Serum anti-PDIK1L autoantibody as a novel marker for endometriosis. Fertil Steril. 2010 Dec;94(7):2552-7.e1

Mesko JD, Gates H, McDonald TW, Youmans R, Lewis J. Clear cell ("mesonephroid") adenocarcinoma of the vulva arising in endometriosis: a case report. Gynecol Oncol. 1988 Mar;29(3):385-91

Sun CC, Toker C, Masi JD, Elias EG. Primary low grade adenocarcinoma occurring in the inguinal region. Cancer. 1979 Jul;44(1):340-5

Hiroaki Niitsu, Hiroaki Tsumura, Tetsuya Kanehir, et al. Clinical characteristics and surgical treatment for inguinal endometriosis in young women of reproductive age. Dig Surg 2019;36:166-72

Bennett GL, Slywotzky CM, Cantera M, Hecht EM. Unusual manifestations and complications of endometriosis--spectrum of imaging findings: pictorial review. AJR Am J Roentgenol. 2010 Jun;194(6 Suppl):WS34-46.

Proposito D, Negro P, Gossetti F, Di Paola M, Montemurro L, Gallina S, Veltri S, Corazza V, Brugiotti C, Antonellis F, Uccini S, Carboni M. Extrauterine endometriosis: what interest for the general surgeon? Presentation of 3 clinical cases and review of the literature. Chir Ital. 2002 Sep-Oct;54(5):699-708

Rolla E. Endometriosis: advances and controversies in classification, pathogenesis, diagnosis, and treatment. F1000Res. 2019 Apr 23;8:F1000 Faculty Rev-529.

Downloads

Published

19-01-2022

Issue

Section

Case Reports: General Surgery and Miscellanea

How to Cite

1.
Michele Mongelli, Cormio G, Giudice G, Legge F, Resta L, Lambo M, et al. Whose surgery is this? Endometriosis of the round ligament. Acta Biomed [Internet]. 2022 Jan. 19 [cited 2024 Jul. 20];92(S1):e2021375. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/11738