Skip to main content

Table 1 Patient’s characteristics and clinical information

From: Inguinal endometriosis: a case series and review of the literature

N

Age

BMI

Parity

Groin mass or pain

Dysmenorrhea (VAS*)

Dyspareunia (VAS)

Pelvic pain (VAS)

Catamenial Symptom

CA-125*

History / previous ENM* Diagnosis

Medical treatment

Primary diagnosis

Imaging #Enzian classification

IEM* site

Surgical #Enzian classification

Outcome

Follow-up (months)

1

31

27.7

G1P1*

+ 

10

8

10

−

−

C-section*, appendectomy, and inguinal herniorrhaphy (1.2)/+ 

Progestin*

GnRH agonist*

IEM*, adenomyosis

#Enzian(u) O0/0, T2/0, B1/1, FA

Proximal / right RL*

P0, O0/0, T0/0, B0/0, F(RL)

Size Pain

–

2

30

20.7

N*

+ 

10

7

8

+ 

68.33

−/+ 

OCP*

IEM

#Enzian(u) O0/0, T0/0, F(inguinal canal)

#Enzian(m) O0/0, T0/0, F(inguinal canal)

Distal/ right RL

Closure to labia majora with Scarpa facia involvement

P1, O0/0, T0/0, B0/0, F(RL)

Size Pain

–

3

35

33.3

N

−

5

5

5

−

−

IVF*, PI*/oophorectomy, ENM* surgery/+ 

–

Severe PE

#Enzian(u) O0/x, T1-/x-, B2/2, C3, FA

Proximal / right RL

P2, O1/0, T1/1, B3/2, F(RL)

16

4

41

17.5

N

+ 

4

−

0

+ 

18.50

−/+ 

Progestin

GnRH agonist

IEM

#Enzian(u) O0/0, T0/0, B1/1, F(inguinal canal)

Right RL

–

Size Pain

24

5

35

19.7

N

+ 

7

6

0

+ 

30.20

Pilonidal sinus cystectomy/+ 

Progestin

IEM, severe PE

#Enzian(u) O0/0, T2/2, B2/2, C3, FI, F (inguinal canal)

Right

Adhesion to right external iliac artery and vein

P0, O0/0, T0/0, B1/1, C3, F(RL)

Size Pain

36

6*

22

24.3

N

−

10

−

10

−

−

PI/+ 

Dydrogestrone*

Bilateral endometrioma

#Enzian(u) O1/2, T0/0, B0/0

–

P3, O0/3, T1/0, B2/2, A3, FB,

F(abdominal wall)

40

7

51

24.1

G3P3

+ 

3

10

10

+ 

−

NVD*, uterus polyp/−

GnRH agonist

Left IEM

#Enzian(u) O0/0, T0/0, FA, F (left inguinal canal)

Left

–

Size

18

8

35

24.6

G3P3

Ab1EP1*

+ 

10

4

7

+ 

36.96

C-section, laparotomy (7), D&C* (10) (GA* = 13W*) /+ 

−

DE, IEM, endometrioma

#Enzian(u) O1/1, T2/2, B2/1, C2, FI, F (inguinal canal)

Right

–

–

9

33

14.2

N

+ 

10

−

5

+ 

−

Inguinal herniorrhaphy (3)/−

Dienogest

IEM

#Enzian(u) O0/0, T0/0, F (inguinal canal)

Right

–

Size

36

  1. BMI: body mass index, VAS: Visual analog scale, CA-125: Cancer antigen-125, ENM: Endometriosis, G: gravida, P: para, N: Nulligravida HTN: hypertension, C-section: cesarean section, IEM: Inguinal Endometriosis, OCP: Oral Contraceptive pill, PI: Primary Infertility, IVF: in-vitro fertilization, NVD: normal vaginal delivery, Ab: abortion EP: ectopic pregnancy D&C: dilation and curettage, GA: gestational age, RL: Round ligament, #Enzian(u): Ultrasound #Enzian score,, #Enzian(m): MRI #Enzian score,, #Enzian(s): Surgical #Enzian score
  2. Progestin: (2 mg daily), GnRH agonist (10.8 mg, subcutaneous, every 12 weeks), Dydrogestrone (20 mg daily, from day 5 to day 25 of the menstrual cycle)
  3. *Patient 6 has mild-size superficial endometriosis implantations surrounding the entrance of the inguinal hernia sac, which was identified accidentally during laparoscopic abdominal and pelvic exploration for endometriosis, but she had no IEM