A case of pubic bone endometriosis treated by laparoscopy-assisted surgery

MORIOKA Sachiko, TANASE Yasuhito, IWAI Kana, NIIRO Emiko, YAMADA Yuki, KOMEDA Satomi, ONOGI Akira, SHIGETOMI Hiroshi, KAWAGUCHI Ryuji, NAGAI Akira, YOSHIDA Shozo, FURUKAWA Naoto, YAMADA Yoshihiko, OI Hidekazu, KOBAYASHI Hiroshi

doi:10.11437/sanpunosinpo.63.307

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腹腔鏡併用下に切除した恥骨上子宮内膜症の1例
症例報告腹腔鏡併用下に切除した恥骨上子宮内膜症の1例
ショウレイホウコクフククウキョウヘイヨウカニセツジョシタチコツジョウシキュウナイマクショウノ 1レイ

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Abstract

Endometriosis is a common gynecological condition mainly involving the pelvic organs. Extragenital endometriosis is less common, but has been observed in almost every area of the female body. This is the case report of an extremely rare case of pubic bone endometriosis that could be treated by laparoscopy-assisted tumorectomy. A 34-year-old nulliparous woman complained of cyclic pain in the groin. Abdominal and vaginal examination findings were unremarkable, however, a mass was found in the right inguinal region, which was confirmed to be not caused by inguinal herniation. It took 3 years to diagnose the pubic bone endometriosis correctly. The patient was offered tumorectomy through an incision in the inguinal region with laparoscopy after conservative medical management using dienogest for 9 months. Both the inguinal tumor and pelvic peritoneum were consistent with a histological diagnosis of endometriosis. Because of its varied presentations, endometriosis remains a difficult condition to diagnose and treat. A possibility of extrapelvic endometriosis exists in case of cyclic pain from pubis to the inguinal area. [Adv Obstet Gynecol, 63(3) : 307-312, 2011 (H23.8)]

Journal

ADVANCES IN OBSTETRICS AND GYNECOLOGY

ADVANCES IN OBSTETRICS AND GYNECOLOGY 63 (3), 307-312, 2011

THE OBSTETRICAL GYNECOLOGICAL SOCIETY OF KINKI DISTRICT JAPAN

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