Clinical aspects and management of inguinal endometriosis: A case series of 20 patients

The Journal of Obstetrics and Gynaecology Research
Tomoko ArakawaYutaka Osuga

Abstract

This study aimed to describe the clinical presentation, diagnostic evaluation, and operative or medical management of inguinal endometriosis. In this study, we retrospectively reviewed 20 cases of inguinal endometriosis in our facility, particularly on the clinical characteristics, diagnosis, and surgical and medical treatment. We retrospectively investigated the following items for each patient: age at diagnosis, surgical history, presence of extragenital endometriosis, symptoms, imaging modalities, surgical therapy, hormonal therapy, follow-up period, postoperative recurrence and time to recurrence. We identified 20 cases of inguinal endometriosis in our facility. First, 75% of the patients had right inguinal endometriosis. Second, T1-weighted or fat-saturated T1-weighted images showed hyperintensity in the lesions in 17 patients (17/18 patients, 94.4%). Third, in 5 of 6 patients who underwent surgical therapy, we performed radical surgery to excise the inguinal lesion including the round ligament. One patient had disease relapse. Fourth, in 6 of 7 cases, dienogest effectively improved pain without significant adverse effects, but oral contraceptive was effective in 1 of 4 patients without significant adverse effects. We retr...Continue Reading

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Citations

Oct 20, 2020·Reproductive Medicine and Biology·Tetsuya HirataYutaka Osuga
Jan 6, 2021·The Journal of Obstetrics and Gynaecology Research·Tetsuya HirataYutaka Osuga
Mar 4, 2021·BMC Women's Health·BoRan MuMengHui Li

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