Published date: Feb 18 2022

Journal Title: International Journal of Reproductive BioMedicine

Issue title: International Journal of Reproductive BioMedicine (IJRM): Volume 20, Issue No. 1

Pages: 59-64

DOI: 10.18502/ijrm.v20i1.10409

Abolfazl MehdizadehEndometriosis Research Center, Iran University of Medical Sciences, Tehran, Iran.

Shahla ChaichianPars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Tehran, Iran.

Shahla MirgaloybayatEndometriosis Research Center, Iran University of Medical Sciences, Tehran, Iran.

Samaneh RokhgirehEndometriosis Research Center, Iran University of Medical Sciences, Tehran, Iran.

Kobra TahermaneshEndometriosis Research Center, Iran University of Medical Sciences, Tehran, Iran.

Maryam KadivarDepartment of Pathology, Hazrat-e-Rasool Akram General Hospital, Iran University of Medical Sciences, Tehran, Iran.

Farahnaz FarzanehFarahnaz1826@yahoo.comEndometriosis Research Center, Iran University of Medical Sciences, Tehran, Iran.

Background: The first case of inguinal endometriosis was described by Cullen. Endometriosis in the round ligament could be in the pelvic or inguinal area and is a rare disease occurring in 0.6% of women. Women with inguinal endometriosis have a painful inguinal mass during menstrual cycles and they mostly have a history of surgery. The right side is more commonly involved in inguinal endometriosis than the left side (90-94%). A history of gynecologic or abdominal surgery is common in women with inguinal endometriosis.

Case presentation: In our case, a 39-yr-old virgin woman presented with localized pain in the right inguinal that had been present for 4 yr. She did not have any history of previous surgery, and abdominal ultrasonography showed a hypoechoic mass with minimal vascularity. Inguinal endometriosis was correctly diagnosed by two expert radiologists preoperatively, and she underwent laparoscopic surgery.

Conclusion: Considering inguinal endometriosis in the differential diagnosis of women with inguinal masses is important, even if there is no history of gynecologic or abdominal surgery.

Key words: Endometriosis, Inguinal, Ultrasound, Case report.

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