Bilateral Inguinal Endometriosis: A Case Report and Literature Review

Yara Abdelkhalek, Zdenek Rusavy, Stéphane Chanel and Bruno Deval

Department of Functional Pelvic Surgery and Oncology, Geoffroy Saint Hilaire Clinic, France
Department of Obstetrics and Gynecology, Charles University, Czech Republic
Department of Pathology and Cytology, Laboratory Cerba, France

^*Correspondance to: Yara Abdelkhalek 

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Abstract:

Pelvic endometriosis is a prevalent disease that causes a significant negative impact on women’s daily life. Unusual locations of endometriosis have been reported. We report the case of a 32-year-old nulliparous black woman with no previous history of invasive abdominal or vaginal surgeries presenting with bilateral inguinal masses. Clinical examination revealed tender and fixed indurations. Magnetic resonance imaging confirmed the presence of one endometriosis lesion in the canal of Nuck along with implants in the pelvis. First by laparoscopy pelvic endometriosis was treated. Right inguinal dissection revealed numerous tumefactions. We removed the biggest mass and stopped due to mismatch between clinical and radiological findings. Histopathology confirmed inguinal endometriosis infiltrating the striated abdominal muscles. Inguinal endometriosis is rare and usually affects the right groin. A history of pelvic endometriosis or invasive abdominal and vaginal surgeries may lead to the accurate diagnosis. This case reported in unique in the bilateral localization of the lesions in a nulliparous woman with no medical or surgical histories. Inguinal endometriosis is a challenging disease that should be a differential diagnosis of painful inguinal masses in women.

Keywords:

Inguinal endometriosis; Extra-pelvic endometriosis; Inguinal mass

Cite the Article:

Abdelkhalek Y, Rusavy Z, Chanel S, Deval B. Bilateral Inguinal Endometriosis: A Case Report and Literature Review. Clin Case Rep Int. 2022; 6: 1316.