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Cited by 30Endometriosis Research and TreatmentGynecological conditions and treatmentsEctopic Pregnancy Diagnosis and Management

Clinical Characteristics and Surgical Treatment for Inguinal Endometriosis in Young Women of Reproductive Age

Niitsu, Hiroaki, Tsumura, Hiroaki, Kanehiro, Tetsuya, Yamaoka, Hiroaki, Taogoshi, Hiroyuki, Murao, Naoki·2019·Digestive Surgery
DOI 10.1159/000489827
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Abstract

Aim: To study the characteristics and surgical treatment of inguinal endometriosis (IEM), which can occur in women of reproductive age. Methods: Patients who underwent groin surgery at the Hiroshima City Funairi Citizens Hospital between 2004 and 2017 were retrospectively examined. Patients with IEM were divided into 3 groups based on the site of occurrence as follows: at a hernia sac or hydrocele of Nuck’s canal (type I), round ligament (type II), or subcutaneous area (type III). Clinical characteristics were compared among groups. Results: Of 2,798 patients investigated, 28 were pathologically diagnosed as having IEM with 15, 10, and 3 classified as type I, II, and III respectively. All patients presented with a mass (median 20 mm) and/or bulge that mainly occurred at the right inguinal region. Sixteen patients presented with inguinal pain associated with menstruation. While the groups did not differ in terms of most clinical characteristics, the lack of a preoperative diagnosis of IEM occurred more frequently for type I than for types II and III. Conclusions: Because IEM-type I might be underdiagnosed preoperatively, complete resection of a hernia sac or hydrocele of Nuck’s canal with subsequent pathological examination is required for women of reproductive age with an inguinal disease.

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Crossref · 10.1159/000489827

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  • In reports of inguinal endometriosis recurrence, the recurrence sites were similar in all recurrent three cases.

    “In these reports, the recurrence sites were similar in all recurrent three cases.”

    From Extra-pelvic endometriosis: a review. (2020) · cites this paper as [56]

  • 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 [56]

  • Inguinal endometriosis predominantly develops in the right groin.

    “Inguinal endometriosis predominantly develops in the right groin”

    From Extra-pelvic endometriosis: a review. (2020) · cites this paper as [56]

  • 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 [56]

  • The average age at diagnosis of inguinal endometriosis is approximately 37 years old.

    “The average age at diagnosis is approximately 37 years old.”

    From Extra-pelvic endometriosis: a review. (2020) · cites this paper as [56]

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Authors
Niitsu, H., Tsumura, H., Kanehiro, T., Yamaoka, H., Taogoshi, H., & Murao, N.
Affiliations
Hiroshima City Funairi Citizens Hospital (JP)
ORCID
Venue
Digestive Surgery
Publisher
S. Karger AG
Published
2018-07-05
Volume
36
Issue
2
Pages
166-172
ISSN
  • 0253-4886 (ISSN-L)
  • 1421-9883
DOI
10.1159/000489827
OpenAlex
W2819423355
Cited by
30
References
23
Citations by year
2026: 2 · 2025: 5 · 2024: 5 · 2023: 2 · 2022: 5 · 2021: 3 · 2020: 5 · 2019: 2 · 2018: 1
FWCI
2.95
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Digestive Surgery (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, hydrocele, round ligament, young women of reproductive age, preoperative diagnosis, surgical resection, dysmenorrhea, inguinal mass
MeSH terms
Round Ligaments, Adult, Endometriosis, Female, Hernia, Inguinal, Humans, Inguinal Canal, Magnetic Resonance Imaging, Menstruation, Middle Aged, Pain, Recurrence, Retrospective Studies, Tomography, X-Ray Computed, Young Adult

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