A report describes a case of a woman in her mid-40s who presented with a painful lump in the right groin for five years. The pain aggravated during menstruation, coughing, and sneezing. Initial treatment with depot methylprednisolone acetate injections provided no relief. Two years later, an endometriotic mass was identified in the right inguinal region at a different hospital. Surgical excision was deferred due to the risk of vascular injury, and she received three doses of depot medroxyprogesterone acetate, which alleviated her pain.
On presentation to this hospital, ultrasound examination suggested a provisional diagnosis of right inguinal endometriosis. A multidisciplinary approach involving a surgeon was planned to perform excision surgery, with careful attention to avoid injury to the femoral vein.
This case highlights the need for close collaboration between specialties to ensure accurate diagnosis and safe surgical treatment of inguinal endometriosis. Although imaging helps in planning, the final diagnosis can only be confirmed through surgical removal and histopathological examination.
Reference:
Rodrigo SN, Gunasekera ED, Kumarasinghe I, Samarasekera N. Inguinal endometriosis: a rare entity of a common condition. BMJ Case Reports CP. 2025 Sep 1;18(9):e265155.
https://casereports.bmj.com/content/18/9/e265155
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