A Rare but Noteworthy Diagnosis for “Lumps in the Groin” During Pregnancy: Round Ligament Varices

Round ligament varicosity in a child: A rare case

Journal of Pediatric Surgical Specialties ◽

10.21614/jpss.11.1.37 ◽

2017 ◽

Vol 11 (1) ◽

pp. 37

Author(s):

Apoorva Kulkarni ◽

Abhaya Gupta ◽

Vishesh Dikshit ◽

Paras Kothari ◽

Geeta Kekre

Keyword(s):

Rare Case ◽

Round Ligament ◽

Round Ligament Varicosity

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Long term follow-up of inguinal endometriosis

BMC Women s Health ◽

10.1186/s12905-021-01235-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

BoRan Mu ◽

ZhiQiang Zhang ◽

Chongdong Liu ◽

Kunning Zhang ◽

ShuHong Li ◽

...

Keyword(s):

Management Strategies ◽

Uterosacral Ligament ◽

Round Ligament ◽

Pelvic Endometriosis ◽

Ovarian Endometriosis ◽

Hernia Sac ◽

Peritoneal Endometriosis ◽

Long Term Follow Up ◽

The Right

Abstract Background Inguinal endometriosis (IEM) is a rare extra pelvic endometriosis. Here, we study the clinical characteristics, management strategies, and long-term gynecological outcomes of IEM patients at Beijing Chaoyang Hospital. Case presentation Three patients presented with a total of four lesions (one on the left side, one on the right side, and one bilaterally). The diameters of the four lesions were 2 cm, 2 cm, 3.5 cm and 1.5 cm, respectively. Two patients were admitted with inguinal hernias. Two patients were admitted with endometrioses—one with ovarian endometriosis and one with pelvic endometriosis. The hernia sac was repaired concomitantly via excision of the round ligament in two patients. One patient underwent a concomitant laparoscopy for gynecologic evaluations, including an ablation to the peritoneal endometriosis, and resection of the left uterosacral ligament endometriosis and pelvic adhesiolysis. All lesions were located on the extraperitoneal portion of the round ligament and were diagnosed histologically. No recurrence was observed in the inguinal region. All patients diagnosed with adenomyosis were treated with medication alone without any complaints. Conclusions Inguinal endometriosis can occur simultaneously with pelvic endometriosis. In most cases, a concomitant hernia sac appears together with groin endometriosis. Clinical management should be individualized and performed in tandem with general practitioners and obstetrics & gynecology experts. Pelvic disease, in particular, should be followed-up by a gynecologist.

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