4 Citations (Scopus)

Abstract

A 39-year-old woman with a left-sided inguinal swelling was referred to us with a diagnosis of inguinal hernia. On asking leading questions, the patient gave a typical history of cyclical pain and increased swelling during menstruation. Fine-needle aspiration biopsy revealed endometrial glands. Preoperatively, the extent of the endometriotic lesion was delineated using MRI. The lesion was approached through the patient's caesarean scar for cosmetic reasons and excised in toto. Final diagnosis was round ligament endometriosis. The patient was asymptomatic at 3, 6 and 12 months' follow-up. This case re-emphasises the fact that endometriosis is an enigmatic disease and can be found anywhere in the body. Thus, a woman of reproductive age presenting with any cyclical symptom should be asked about its relation to her menstrual cycle.

Original languageEnglish
JournalBMJ Case Reports
Volume2015
DOIs
Publication statusPublished - 31-03-2015

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Groin
Endometriosis
Round Ligaments
Menstruation
Inguinal Hernia
Menstrual Cycle
Fine Needle Biopsy
Cosmetics
Cicatrix
Pain

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

@article{afaf0708287f4b6fadac864a32854b96,
title = "Jack in the box: Inguinal endometriosis",
abstract = "A 39-year-old woman with a left-sided inguinal swelling was referred to us with a diagnosis of inguinal hernia. On asking leading questions, the patient gave a typical history of cyclical pain and increased swelling during menstruation. Fine-needle aspiration biopsy revealed endometrial glands. Preoperatively, the extent of the endometriotic lesion was delineated using MRI. The lesion was approached through the patient's caesarean scar for cosmetic reasons and excised in toto. Final diagnosis was round ligament endometriosis. The patient was asymptomatic at 3, 6 and 12 months' follow-up. This case re-emphasises the fact that endometriosis is an enigmatic disease and can be found anywhere in the body. Thus, a woman of reproductive age presenting with any cyclical symptom should be asked about its relation to her menstrual cycle.",
author = "Deeksha Pandey and Ambika Coondoo and Jyothi Shetty and Stanley Mathew",
year = "2015",
month = "3",
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}

Jack in the box : Inguinal endometriosis. / Pandey, Deeksha; Coondoo, Ambika; Shetty, Jyothi; Mathew, Stanley.

In: BMJ Case Reports, Vol. 2015, 31.03.2015.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Jack in the box

T2 - Inguinal endometriosis

AU - Pandey, Deeksha

AU - Coondoo, Ambika

AU - Shetty, Jyothi

AU - Mathew, Stanley

PY - 2015/3/31

Y1 - 2015/3/31

N2 - A 39-year-old woman with a left-sided inguinal swelling was referred to us with a diagnosis of inguinal hernia. On asking leading questions, the patient gave a typical history of cyclical pain and increased swelling during menstruation. Fine-needle aspiration biopsy revealed endometrial glands. Preoperatively, the extent of the endometriotic lesion was delineated using MRI. The lesion was approached through the patient's caesarean scar for cosmetic reasons and excised in toto. Final diagnosis was round ligament endometriosis. The patient was asymptomatic at 3, 6 and 12 months' follow-up. This case re-emphasises the fact that endometriosis is an enigmatic disease and can be found anywhere in the body. Thus, a woman of reproductive age presenting with any cyclical symptom should be asked about its relation to her menstrual cycle.

AB - A 39-year-old woman with a left-sided inguinal swelling was referred to us with a diagnosis of inguinal hernia. On asking leading questions, the patient gave a typical history of cyclical pain and increased swelling during menstruation. Fine-needle aspiration biopsy revealed endometrial glands. Preoperatively, the extent of the endometriotic lesion was delineated using MRI. The lesion was approached through the patient's caesarean scar for cosmetic reasons and excised in toto. Final diagnosis was round ligament endometriosis. The patient was asymptomatic at 3, 6 and 12 months' follow-up. This case re-emphasises the fact that endometriosis is an enigmatic disease and can be found anywhere in the body. Thus, a woman of reproductive age presenting with any cyclical symptom should be asked about its relation to her menstrual cycle.

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