Table 1 Characteristics of three patients with inguinal endometriosis
Case 1 | Case 2 | Case 3 | |
|---|---|---|---|
Age at diagnosis | 32 | 40 | 36 |
Gravidity and parity | 2/1 | 0/0 | 3/0 |
Presenting symptoms | Right inguinal mass with catamenial pain for 14mon | Left inguinal incarcerated mass 2y | Left inguinal mass with catamenial pain 6y and right inguinal incarcerated mass 0.5y |
History of surgery | Appendectomy in 2004 | Right ovarian cystectomy in March, 2011; Infertility | Induced abortion 3 times; dysmenorrhea |
Physical findings | Tender 2 cm nodule | Tender 2 cm nodule | Tender 3 cm left inguinal mass, 1.5 cm right inguinal nodule; uterine leiomyoma |
MRI findings | isointense and small scattered hyperintense both on T1- and T2-weighted images | NA | Left: hyperintense both on T1- and T2-weighted images Right: hypointense on T1- and T2-weighted images |
Type | III | I | Left: III Right: I |
Tentative diagnosis | Pelvic and inguinal endometriosis | Incarcerated hernia | Inguinal endometriosis |
Operative date | 2014-2-14 | 2012-8-14 | 2011-11-28 |
Surgical diagnosis and treatment | Endometriosis of right round ligament excision and pelvic endometriosis ablation | Left round ligament endometriosis excision; repaired the hernia; | Bilateral round ligament endometriosis excision; Hernia sac was found in the right groin and was repaired |
Follow-up | 70mon Adenomyosis; no recurrence | 88mon Adenomyosis; no recurrence | 96mon Adenomyosis; no recurrence |