Abstract
IntroductionMany conditions present as groin swellings, in both the elective and emergency setting. The management of these conditions varies widely, thus a prompt and accurate diagnosis is important.Case presentationA 27 year old female presented with an acute painful swelling in her right groin. A preliminary diagnosis of an incarcerated femoral hernia led to urgent surgical exploration. Histology of the excised tissue showed appearances consistent with endometriosis.ConclusionEndometriosis is an unusual cause of an acute groin mass, which should be considered as a differential diagnosis in women of childbearing age.
Highlights
Many conditions present as groin swellings, in both the elective and emergency setting
Case presentation: A 27 year old female presented with an acute painful swelling in her right groin
A preliminary diagnosis of an incarcerated femoral hernia led to urgent surgical exploration
Summary
Endometriosis is a condition in which foci of endometrial glandular tissues are found beyond the uterine cavity. Cases Journal 2009, 2:6438 http://casesjournal.com/casesjournal/article/view/6438 attached to the round ligament is very uncommon It classically presents as a groin mass and can coincide with other pathologies such as inguinal hernias, raising diagnostic difficulties [3]. Case presentation A 27 year old nulliparous white Caucasian woman presented to the surgical admissions unit with a two day history of an acutely painful swelling in her right groin. The patient was previously fit and well, a non-smoker, and her past medical history included irritable bowel syndrome and lactose intolerance. Her current medication was a combined oral contraceptive pill. On subsequent outpatient review the surgical wound had healed without complications and the patient had no further symptoms
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