Clinical Characteristics and Surgical Treatment for Inguinal Endometriosis in Young Women of Reproductive Age
| Autor: | Tetsuya Kanehiro, Hiroaki Tsumura, Naoki Murao, Hiroyuki Taogoshi, Hiroaki Niitsu, Hiroaki Yamaoka |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty Round Ligaments Endometriosis Inguinal Canal Pain Hernia Inguinal Reproductive age Menstruation Young Adult 03 medical and health sciences 0302 clinical medicine Recurrence Right Inguinal Region Hydrocele medicine Humans Pathological Retrospective Studies Groin business.industry Gastroenterology Middle Aged medicine.disease Magnetic Resonance Imaging Surgery Inguinal hernia medicine.anatomical_structure 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology Tomography X-Ray Computed business |
| Zdroj: | Digestive Surgery. 36:166-172 |
| ISSN: | 1421-9883 0253-4886 |
| DOI: | 10.1159/000489827 |
| Popis: | Aim: To study the characteristics and surgical treatment of inguinal endometriosis (IEM), which can occur in women of reproductive age. Methods: Patients who underwent groin surgery at the Hiroshima City Funairi Citizens Hospital between 2004 and 2017 were retrospectively examined. Patients with IEM were divided into 3 groups based on the site of occurrence as follows: at a hernia sac or hydrocele of Nuck’s canal (type I), round ligament (type II), or subcutaneous area (type III). Clinical characteristics were compared among groups. Results: Of 2,798 patients investigated, 28 were pathologically diagnosed as having IEM with 15, 10, and 3 classified as type I, II, and III respectively. All patients presented with a mass (median 20 mm) and/or bulge that mainly occurred at the right inguinal region. Sixteen patients presented with inguinal pain associated with menstruation. While the groups did not differ in terms of most clinical characteristics, the lack of a preoperative diagnosis of IEM occurred more frequently for type I than for types II and III. Conclusions: Because IEM-type I might be underdiagnosed preoperatively, complete resection of a hernia sac or hydrocele of Nuck’s canal with subsequent pathological examination is required for women of reproductive age with an inguinal disease. |
| Databáze: | OpenAIRE |
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