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Case report
Extrapelvic endometrioma presenting as acute incarcerated right inguinal hernia in a postpartum patient
  1. Erum Azhar1,2,
  2. Salma M Mohammadi3,
  3. Fauzan M Ahmed3 and
  4. Abdul Waheed3
  1. 1 Department of Public Health Sciences, Penn State Health Milton S Hershey Medical Center, Hershey, Pennsylvania, USA
  2. 2 Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, New York, USA
  3. 3 Family Medicine Residency Program, WellSpan Good Samaritan Hospital, Lebanon, Pennsylvania, USA
  1. Correspondence to Dr Erum Azhar, eazhar{at}


A 33-year-old postpartum patient, who had an uncomplicated repeat caesarean section 4 weeks prior, presented with a 2-day history of acute right lower quadrant, incisional and groin pain. She was found to have a palpable tender lump in the right groin. A CT scan with contrast identified fluid along the anterior abdominal wall of the right lower quadrant (inguinal region) measuring about 1.7 cm, a preliminary diagnosis of an incarcerated inguinal hernia was made and the patient underwent immediate surgery. The hernia sac was dissected free and had chocolate cyst that was confirmed to be endometrioma on histopathology. The hernia defect was repaired. Postoperative, the patient did well and was discharged home. We emphasise to consider this differential diagnosis of extrapelvic inguinal endometrioma in reproductive-aged women with or without history of endometriosis especially in a post-caesarean patient who has atypical presentations.

  • obstetrics and gynaecology
  • reproductive medicine
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  • Contributors EA, AW, SMM and FMA all participated in case discussion, writing of the manuscript and approved the final version.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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