Differential diagnosis of an incarcerated inguinal hernia: extraperitoneal endometrioma of the round ligament
by Jack J. K. Ku, Michael Marfan, Michael O’Shea, Adam Louie, John Lynch and Anthony Griffin
General surgeons may encounter endometriosis when extraperitoneal forms of the disease mimic a symptomatic inguinal hernia in premenopausal women. Diagnosis is often difficult, especially in the absence of menstrual symptoms, and is often made during surgical groin exploration. We present a case of extraperitoneal endometrioma simulating a symptomatic inguinal hernia and discuss the pathogenesis and management. (General Surgery, Gynaecology; July 20th 2006) More...