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Concomitant inguinal endometriosis and groin hernia – Case report

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ABSTRACT
Endometriosis is a condition which affects women during their reproductive age. We present the case of a 42 years old Caucasian nulliparous woman accusing in the last three months a painful bulging mass in the right groin. The patient reported that the mass increases in size during prolonged standing and lifting of heavy weights. In addition, the inguinal pain was exacerbated during ovulation. The patient underwent surgery, during which wide excision of the nodule was performed. Furthermore, both direct and indirect hernia sacs were found and dissected, the content was reduced and the sacs were excised. Four months after the surgery, the patient was free of symptoms and had no signs of recurrence.
Key words: inguinal endometriosis, groin hernia, surgery.

INTRODUCTION
Endometriosis is a condition which affects women during their reproductive age. It is characterized by the presence and proliferation of endometrial stroma and glands outside the uterine cavity. Its occurrence Inguinal endometriosis (IE) has been rarely reported so far, and accounts for less than 1% of patients affected by endometriosis.2 It is relevant that 90% of cases with endometriosis in the extraperitoneal part of the round ligament were right-sided and between 30% and 40% of them were concomitant with an inguinal hernia.

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