Differential diagnosis of an incarcerated inguinal hernia: extraperitoneal endometrioma of the round ligament
Jack J. K. Ku, Michael Marfan, Michael O’Shea, Adam Louie, John Lynch and Anthony Griffin
Surgical Department, Princess Alexandra Hospital, Woolloongabba, Queensland 4102, Australia
Queen Elizabeth II Hospital, Cooper Plains, Queensland 4108, Australia
Corresponding address:
Dr Jack J K Ku,
Department of Surgery, P.O. Box 547,
Nambour General Hospital, Nambour Qld 4560, Australia.
E-mail: J k Ku@hotmail.com
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.
Key words
Inguinal hernia; extraperitoneal endometrioma.
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