Endometriosis of extra-pelvic round ligament, a diagnostic dilemma for physicians

Raghunath Prabhu, Sunil Krishna, Rajgopal Shenoy, Siddharth Thangavelu

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

A 49-year-old multiparous woman presented with a swelling in the left groin of 6 months duration. The swelling was associated with a dull aching pain. The patient reported increase in size of the swelling during lifting of heavy weights. Menstrual history was normal and there was no increase in pain over the swelling during menstruation. She underwent a caesarean section 20 years ago and the scar had healed by primary intention. She was provisionally diagnosed to have a left-sided inguinal hernia. Ultrasonography showed a multiloculated cyst measuring 5.3×1.5×5.2 cm within the inguinal canal. The patient had excision of the cyst under spinal anaesthesia. Intraoperatively the cyst was found to arise from the left round ligament. It measured 7×6 cm extending to the left lateral vaginal wall. Histopathology revealed endometriosis of the round ligament. Her gynaecological assessment was normal and they recommended no further treatment. On followup the patient was asymptomatic and wound had healed well.

Original languageEnglish
Article number200465
JournalBMJ Case Reports
DOIs
Publication statusPublished - 19-08-2013

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Round Ligaments
Endometriosis
Cysts
Physicians
Weight Lifting
Inguinal Canal
Pain
Menstruation
Groin
Inguinal Hernia
Spinal Anesthesia
Cesarean Section
Cicatrix
Ultrasonography
Wounds and Injuries
Therapeutics

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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Endometriosis of extra-pelvic round ligament, a diagnostic dilemma for physicians. / Prabhu, Raghunath; Krishna, Sunil; Shenoy, Rajgopal; Thangavelu, Siddharth.

In: BMJ Case Reports, 19.08.2013.

Research output: Contribution to journalArticle

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