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Abstract
Endometriosis is a common gynecologic diagnosis. Typical complaints of patients with
pelvic endometriosis include dysmenorrhea, menstrual irregularities, dyspareunia,
and infertility, Endometriosis may also occur in extrapelvic sites and cause unusual
symptoms and diagnostic dilemmas. Endometriosis has been described in the inguinal
region, and this is illustrated in the first case history. The tender inguinal masses
often fluctuate with the menstrual cycle but the condition initially may be confused
with an inguinal hernia. Treatment is surgical. Abdominal wall scar endometriosis,
seen in the second case, has been described in patients after a wide variety of gynecologic
procedures. This also is initially noted as a tender mass, usually fluctuating with
menstruation, and is often confused with an incisional hernia. Again, surgery is the
treatment of choice. Pathologic features of endometriosis are constant, regardless
of location. Microscopically, endometrial glands and stroma, fibrosis, chronic inflammation,
and old hemorrhage are seen. Familiarity with the unusual types of endometriosis is
important to the general surgeon.
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Article info
Publication history
Accepted:
March 8,
1988
Identification
Copyright
© 1989 Published by Elsevier Inc.
