Radical Excision of Inguinal Endometriosis
Abstract
Background The diagnosis of inguinal endometriosis can be complex, and patients are often first operated by a general surgeon for a hernia. We present five cases of inguinal endometriosis in which primary surgery resulted in recurrence and a second correct procedure resulted in a cure. Cases Five patients with inguinal endometriosis, operated between 1996 and 2002, were seen for the recurrence of symptoms. All underwent excision of the extraperitoneal portion of the round ligament and pelvic exploration. In all cases, both pelvic and round ligament endometriosic lesions were confirmed at histology. No complications or recurrence of inguinal endometriosis occurred. Conclusion The complete excision of inguinal endometriosis must also include the extraperitoneal portion of the round ligament.
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 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 [62]
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 [62]
There have been a few reports describing postoperative recurrence rates of inguinal endometriosis ranging from 0% to 16.6%.
“There have been a few reports describing postoperative recurrence rates ranging from 0% to 16.6%.”
From Extra-pelvic endometriosis: a review. (2020) · cites this paper as [62]
As a radical surgical treatment, en bloc resection of tumor and the round ligament has been reported.
“As a radical surgical treatment, an en bloc resection of tumor and the round ligament has been reported.”
From Extra-pelvic endometriosis: a review. (2020) · cites this paper as [62]
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 [62]
Cites
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
Self-citationExtrapelvic 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
Endometriosis of the round ligament: description of a clinical case and review of the literature
Licheri, S., Pisano, G., Erdas, E., Ledda, S., Casu, B., Cherchi, M. V., Pomata, M., & Daniele, G. M. (2005) · Hernia · doi:10.1007/s10029-004-0314-6 · Cited by 55 · 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
Isolated endometriosis in an inguinal hernia
Quagliarello, J., Coppa, G. F., & Bigelow, B. (1985) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(85)80049-1 · Cited by 36 · see citing works
Adenosarcoma Arising in Inguinal Endometriosis
Milam, M. R., Atkinson, J. B., & Currie, J. L. (2006) · Obstetrics and Gynecology · doi:10.1097/01.aog.0000192550.19403.0f · Cited by 23 · see citing works
Immunohistochemical analysis of an ectopic endometriosis in the uterine round ligament.
Terada, S., Miyata, Y., Nakazawa, H., Higashimori, T., Arai, T., Kikuchi, Y., & Nozaki, M. (2006) · Diagnostic Pathology · doi:10.1186/1746-1596-1-27 · Cited by 18 · 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
Nuck canal endometriosis: MR imaging findings and clinical features
Gaeta, M., Minutoli, F., Mileto, A., Racchiusa, S., Donato, R., Bottari, A., & Blandino, A. (2010) · Abdominal Imaging · doi:10.1007/s00261-010-9607-7 · Cited by 59 · see citing works
Endometriosis of the Round Ligament of the Uterus
Crispi, C. P., de Souza, C. A. P., Oliveira, M. A. P., Dibi, R. P., Cardeman, L., Sato, H., & Schor, E. (2011) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2011.09.006 · Cited by 34 · see citing works
Inguinal endometriosis: A systematic review
Dalkalitsis, A., Salta, S., Tsakiridis, I. G., Dagklis, T., Kalogiannidis, I. A., Mamopoulos, A. M., Daniilidis, A., Athanasiadis, A. P., Navrozoglou, I., Paschopoulos, M. E., et al. (2022) · Taiwanese Journal of Obstetrics and Gynecology · doi:10.1016/j.tjog.2021.11.007 · Cited by 34 · 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
Challenge in the management of endometriosis in the canal of Nuck
Wang, C., Chao, A., Wang, T., Wu, C., Chao, A., & Lai, C. (2008) · Fertility and Sterility · doi:10.1016/j.fertnstert.2008.07.1713 · Cited by 26 · see citing works
Abdominal hernias in pregnancy
Augustin, G., Matošević, P., Kekez, T., Majerović, M., & Đelmiš, J. (2009) · Journal of obstetrics and gynaecology research · doi:10.1111/j.1447-0756.2008.00965.x · Cited by 23 · see citing works
Okoshi, K., Mizumoto, M., & Kinoshita, K. (2017) · Journal of Medical Case Reports · doi:10.1186/s13256-017-1522-x · Cited by 21 · see citing works
Inguinal endometriosis in a patient without a previous history of gynecologic surgery
Kim, D. H., Kim, M. J., Kim, M.-L., Park, J. T., & Lee, J. H. (2014) · Obstetrics & Gynecology Science · doi:10.5468/ogs.2014.57.2.172 · Cited by 19 · see citing works
Ectopic Pregnancy Developing in a Cyst of the Canal of Nuck
Noguchi, D., Matsumoto, N., Kamata, S., & Kaneko, K. (2014) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000000099 · Cited by 19 · see citing works
Long term follow-up of inguinal endometriosis
Mu, B., Zhang, Z., Liu, C., Zhang, K., Li, S., Leng, J., & Li, M. (2021) · BMC Women s Health · doi:10.1186/s12905-021-01235-2 · Cited by 12 · 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
An unusual presentation of endometriosis
Saadeh, F. A., Wahab, N. A. A., & Gleeson, N. (2014) · BMJ Case Reports · doi:10.1136/bcr-2014-204270 · Cited by 7 · see citing works
Bandini, V., Cipriani, S., Pillinini, C., Angioni, S. L., Bartiromo, L., Biasioli, A., Candiani, M., Carletti, V., D’Alterio, M. N., Incandela, D., et al. (2025) · Human Reproduction Open · doi:10.1093/hropen/hoaf064 · Cited by 5 · see citing works
Primary inguinal subcutaneous endometriosis accompanied with an inguinal hernia
Chen, P., Cheng, C.-H., & Ding, D. (2021) · Medicine · doi:10.1097/md.0000000000025460 · Cited by 5 · see citing works
Rare extragenital endometriosis: pathogenesis and therapy
Fedele, F., Fatta, S. D., Busnelli, A., Bulfoni, A., Salvatore, S., & Candiani, M. (2022) · Clinical and Experimental Obstetrics & Gynecology · doi:10.31083/j.ceog4902043 · Cited by 3 · see citing works
Kiselev, S. I., Karapetyan, E. A., Шайдуллина, Е. В., Revva, O. V., & Yastrebov, D. V. (2024) · Russian Journal of Human Reproduction · doi:10.17116/repro202430021112 · Cited by 2 · see citing works
Inguinal endometriosis with a disappearing mass preoperatively
Watanabe, Y., Suzuki, R., Kinoshita, M., & Hirota, M. (2022) · International Journal of Surgery Case Reports · doi:10.1016/j.ijscr.2022.106781 · Cited by 3 · see citing works
Laparoscopic excision of round ligament endometrioma
Alari, F. S., Caveriviere, P., Gutierrez, I., & Gillon, C. (2018) · BMJ Case Reports · doi:10.1136/bcr-2017-223613 · Cited by 2 · see citing works
The usefulness of laparoscopic surgery for inguinal endometriosis
Mushiake, S., Kawaguchi, N., Asakuma, M., Komeda, K., Shimizu, T., Hirokawa, F., Shimomura, T., & Lee, S. (2023) · Surgical Case Reports · doi:10.1186/s40792-022-01571-x · Cited by 2 · see citing works
Mullerian tissue in the rectus abdominis muscle forming an endometrioma: a case report
Haseeb, Y. A. (2019) · Pan African Medical Journal · doi:10.11604/pamj.2019.34.159.19193 · Cited by 2 · see citing works
Symptomatic Abdominal Wall Hernia
Augustin, G. (2018) · Springer eBooks · doi:10.1007/978-3-319-72995-4_5 · Cited by 1 · see citing works
Chiàntera, V., Abesadze, E., Ibrahim, M. G., Dückelmann, A. M., & Mechsner, S. (2016) · International Journal of Reproduction Contraception Obstetrics and Gynecology · doi:10.18203/2320-1770.ijrcog20163012 · Cited by 1 · see citing works
Symptomatic Abdominal Wall Hernias
Augustin, G. (2014) · Springer eBooks · doi:10.1007/978-3-319-05422-3_5 · Cited by 1 · see citing works
Surgical management of inguinal endometriosis: Case report and surgical video
Beroukhim, G., Esencan, E., Manrai, P. A., Azodi, M., & Cho, Y. K. (2023) · Journal of Case Reports and Images in Obstetrics and Gynecology · doi:10.5348/100136z08gb2023cr · Cited by 1 · see citing works
Kondo, T., Matsuno, S., Ota, H., Shionoiri, T., Yokoi, Y., Shiozawa, I., & Kobayashi, Y. (2012) · JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · doi:10.5180/jsgoe.28.567 · Cited by 1 · see citing works
Weerakkody, Y., Amer, M., & Knipe, H. (2017) · Radiopaedia.org · doi:10.53347/rid-53148 · Cited by 1 · see citing works
Endometrial Tumors in Postoperative Scars-Pathogenesis, Diagnostics and Treatment
Horák, S., & Olejek, A. (2012) · InTech eBooks · doi:10.5772/30598
Kawahara, Y., Inoue, T., Aotsuka, E., Samejima, D., Akiyama, I., & Hirata, T. (2022) · JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · doi:10.5180/jsgoe.38.1_170
Jeon, D., & Hong, J.-A. (2022) · Soonchunhyang Medical Science · doi:10.15746/sms.22.027
Characteristics and clinical management of inguinal endometriosis
Iwai, N., Saeki, A., Kusumoto, R., Asano, S., Hosokawa, Y., & Matsumoto, T. (2022) · JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · doi:10.5180/jsgoe.38.2_11
Symptomatic Abdominal Wall Hernia
Augustin, G. (2023) · Springer eBooks · doi:10.1007/978-3-031-26021-6_19
Concurrent Inguinal Endometriosis and Catamenial Pneumothorax: A Case Report
Tanaka, Y., Horikawa, N., Nishimura, T., Kiyokawa, H., & Fukuhara, K. (2025) · Cureus · doi:10.7759/cureus.78747
Riggenbach, Z. W., Lutgens, J., Williams, B., Kelly, A., & Bingham, J. (2026) · Cureus · doi:10.7759/cureus.112592
Experience with the Treatment of Nine Cases of Inguinal Endometriosis at our Hospital
Onishi, T., Komeda, Y., Fukushima, K., & Tominaga, K. (2025) · Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons) · doi:10.4030/jjcs.50.413
- Authors
- Fedele, L., Bianchi, S., Frontino, G., Zanconato, G., & Rubino, T.
- Affiliations
- University of Milan (IT)
- University of Verona (IT)
- Venue
- Obstetrics & Gynecology
- Published
- 2007-08
- Volume
- 110
- Issue
- 2
- Pages
- 530-533
- ISSN
- 0029-7844 (ISSN-L)
- OpenAlex
- W2066744326
- Cited by
- 35
- References
- 8
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2023: 4 · 2022: 6 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 2 · 2017: 2 · 2016: 1 · 2014: 4 · 2012: 2
- FWCI
- 1.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- 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
- inguinal endometriosis, radical resection, endometriosis recurrence
- MeSH terms
- Adult, Diagnosis, Differential, Endometriosis, Female, Hernia, Inguinal, Humans, Inguinal Canal, Recurrence, Round Ligament of Uterus, Treatment Outcome
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
