Endometriosis of the groin hernia sac: report of a case and review of the literature
Abstract
Endometriosis is characterized by the presence of histological normal endometrial tissue outside the uterine cavity. It occurs in up to 15% of menstruating women and often goes undetected. Some cases of soft-tissue involvement have been reported, particularly in the skin and subjacent tissues of surgical scars. However, we came cross a 42-year-old female patient with millimetric focal lesions in a groin hernia sac. A case report and a review of the literature are presented. Although definitive diagnosis still requires biopsy, the patient's cyclic symptoms and history of previous uterine surgery should suggest the correct diagnosis.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The mechanism of inguinal endometriosis is often explained mainly by the theory of reflux of menstrual blood into the pelvis.
“the mechanism is often explained mainly by the theory of reflux of menstrual blood into the pelvis.”
From Extra-pelvic endometriosis: a review. (2020) · cites this paper as [63]
It is speculated that endometriosis propagates from the pelvis to the groin via the round ligament.
“It is also speculated that endometriosis propagates from the pelvis to the groin via the round ligament.”
From Extra-pelvic endometriosis: a review. (2020) · cites this paper as [63]
The abdominal fluid containing endometrium circulates clockwise in the abdominal cavity, and the sigmoid colon blocks the abdominal fluid from entering the left inguinal ring.
“The abdominal fluid containing the endometrium circulates clockwise in the abdominal cavity, and the sigmoid colon blocks the abdominal fluid from entering the left inguinal ring”
From Extra-pelvic endometriosis: a review. (2020) · cites this paper as [63]
Cites
Extrapelvic endometriosis: Diagnosis and treatment
Seydel, A. S., Sickel, J. Z., Warner, E. D., & Sax, H. C. (1996) · The American Journal of Surgery · doi:10.1016/s0002-9610(97)89557-8 · Cited by 130 · see citing works
(1981) · PubMed · Cited by 124 · see citing works
Inguinal endometriosis: pathogenetic and clinical implications.
Candiani, G. B., Vercellini, P., Fedele, L., Vendola, N., Carinelli, S. G., & Scaglione, V. (1991) · PubMed · Cited by 112 · see citing works
Histologic study of endometriosis and examination of lymphatic drainage in and from the uterus
Ueki, M. (1991) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(91)90252-m · Cited by 82 · see citing works
Extrapelvic endometriosis presenting as a hernia: clinical reports and review of the literature.
Sataloff, D. M., Vorgna, K. A. L., & McFarland, M. (1989) · PubMed · Cited by 73 · see citing works
(2008) · PubMed · Cited by 61 · see citing works
Kapan, M., Kapan, S., Durgun, V., & Göksoy, E. (2004) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-004-0624-z · Cited by 43 · see citing works
The clinical implications of retroperitoneal endometriosis
Moore, J. G., Binstock, M. A., & Growdon, W. A. (1988) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(88)90359-6 · Cited by 37 · see citing works
Inguinal Hernia Containing Functioning, Rudimentary Uterine Horn and Endometriosis
Kamio, M., Nagata, T., Yamasaki, H., et al. (2009) · Obstetrics and Gynecology · doi:10.1097/aog.0b013e3181942068 · Cited by 35 · see citing works
Endometriosis of the inguinal canal mimicking a hernia.
Mashfiqul, M. A. S., Tan, Y. M., & Chintana, C. W. (2007) · PubMed · Cited by 28 · see citing works
Unusual sites (thorax and umbilical hernial sac) of endometriosis.
Yuen, J. S. P., Chow, P. K. H., Koong, H. N., Ho, J. M., & Girija, R. (2001) · PubMed · Cited by 27 · see citing works
Endometriosis: approaches to diagnosis and treatment.
Luciano, A. A., & Pitkin, R. M. (1984) · PubMed · Cited by 27 · see citing works
Kulacoglu, H., Ozdogan, M., Gurer, A., et al. (2007) · Bratislavské lekárske listy/Bratislava medical journal · doi:10.1007/bf03656949 · Cited by 25 · see citing works
External Endometriosis in 801 Operated Patients
Nikkanen, V., & Punnonen, R. (1984) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.3109/00016348409154666 · Cited by 17 · see citing works
Umbilical endometriosis associated with umbilical hernia. Management of a rare occurrence.
Iovino, F., Ruggiero, R., Irlandese, E., Gili, S., & Schiavo, F. L. (2007) · PubMed · Cited by 11 · see citing works
Umbilical Endometriosis Associated with Umbilical Hernia
Sinha, S., & Sinha, R. (2009) · Apollo Medicine · doi:10.1016/s0976-0016(11)60539-5 · Cited by 5 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Extra-pelvic endometriosis: a review.
Hirata, T., Koga, K., & Osuga, Y. (2020) · Reproductive Medicine and Biology · doi:10.1002/rmb2.12340 · Cited by 107 · see citing works
Niitsu, H., Tsumura, H., Kanehiro, T., Yamaoka, H., Taogoshi, H., & Murao, N. (2019) · Digestive Surgery · doi:10.1159/000489827 · Cited by 30 · see citing works
Wolfhagen, N., Simons, N. E., de Jong, K. H., van Kesteren, P. J. M., & Simons, M. P. (2018) · Hernia · doi:10.1007/s10029-018-1797-x · Cited by 29 · see citing works
Clinical aspects and management of inguinal endometriosis: A case series of 20 patients
Arakawa, T., Hirata, T., Koga, K., Neriishi, K., Fukuda, S., Ma, S., Sun, H., Nagashima, N., Harada, M., Hirota, Y., et al. (2019) · Journal of Obstetrics and Gynaecology Research · doi:10.1111/jog.14059 · Cited by 26 · see citing works
PIRIYEV, E., NAMAZOV, A., MAHALOV, I., MAMEDOVA, A., GEMER, O., SCHIERMEIER, S., & RÖMER, T. (2023) · In Vivo · doi:10.21873/invivo.13138 · Cited by 11 · see citing works
- Authors
- Kiyak, G., Ergul, E., Sarıkaya, S. M., & Yazgan, A.
- Affiliations
- Ankara Atatürk Eğitim ve Araştırma Hastanesi (TR)
- Venue
- Hernia
- Published
- 2009-07-10
- Volume
- 14
- Issue
- 2
- Pages
- 215-217
- ISSN
- 1248-9204 (ISSN-L)
- 1265-4906
- OpenAlex
- W2154401700
- Cited by
- 28
- References
- 16
- Citations by year
- 2026: 1 · 2025: 3 · 2023: 5 · 2022: 4 · 2021: 2 · 2020: 2 · 2019: 1 · 2018: 3 · 2016: 1 · 2015: 2 · 2014: 3 · 2013: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Hernia (publishedVersion)
- PubMed (publishedVersion)
- AYBU AVESIS (submittedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
- Keywords
- endometriosis, extrapelvic endometriosis, previous uterine surgery, biopsy diagnosis
- MeSH terms
- Adult, Biopsy, Endometriosis, Female, Groin, Hernia, Inguinal, Humans, Laparoscopy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
