Naslov
Atypical sites of endometriosis: Primary inguinal cutaneous endometriosis.

Autori
Culej Diana, Bursać Danijel, Perković Pavo, Duić Željko, Gašparov Slavko

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
6. Hrvatski kongres o reprodukcijskom zdravlju, planiranju obitelji, kontracepciji i IVF-u s međunarodnim sudjelovanjem. / - , 2022, 29-29

Skup
6. Hrvatski kongres o reprodukcijskom zdravlju, planiranju obitelji, kontracepciji i IVF-u s međunarodnim sudjelovanjem.

Mjesto i datum
Šibenik, Hrvatska, 19.05.2022. - 21.05.2022

Vrsta sudjelovanja
Poster

Vrsta recenzije
Recenziran

Ključne riječi
primary inguinal cutaneous endometriosis

Sažetak
Endometriosis is a chronic inflammatory disease defined as the presence of endometrium-like tissue outside the uterus. It is mostly found in women of reproductive age, within the general female population 2 to 10%, up to 50% in infertile women. Endometriosis lesions can be classified as ovarian, exclusively extra-ovarian or mixed. The common sites of endometriosis are the ovaries, fallopian tubes, pelvic peritoneum and uterosacral ligaments, whereas the atypical sites include the gastrointestinal tract, urinary tract, soft tissues, chest etc. Depending on the involved site, women can present with various symptoms. Most common are deep pelvic pain, dyspareunia and dysmenorrhea, but can be bowel obstruction, melena, hematuria, dysuria, dyspnea and swelling in soft tissues. Diagnosis of extra-pelvic endometriosis can be difficult. We report a case of rare, atypical site of endometriosis – primary inguinal cutaneous endometriosis. It is relatively uncommon and occurs when endometrial glands and stroma reside in the skin. Cutaneous endometriosis can be divided into primary and secondary endometriosis, depending on past medical history. A 27-year-old women presented to our Deparment with a history of a painful, firm, movable, subcutaneous nodule 1x1cm of size in the right inguinum. She experienced flares of pain with her menstrual cycle and dysmenorrhea. Ultrasound revealed hypoechoic nodule with vascular flow. Punch biopsy of the nodule was perormed. The biopsy results showed adipocytes and cell inclusions partially positive on epithelial membrane antigen. After surgical excision of nodule with wide margins, tissue was consisted from endometrial glands with encompassing fibrotic stroma. Abdominal ultrasond was physiological, as well as pelvic magnetic resonance imaging. No additional signs of endometriosis were found. Because the condition is rare and can mimic presentations of other diseases, such as lymphatic nodule, keloid, dermatofibroma protuberans, cutaneous metastasis of cancer or dermatofibroma, cutaneous endometriosis can be difficult to diagnose. Distinguishing between these lesions can be challenging, thus we should examine with a deliberately different perspective.

Izvorni jezik
Engleski

POVEZANOST RADA