{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T15:53:13Z","timestamp":1788623593805,"version":"build-2803163510"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 49-year-old multiparous woman presented with a swelling in the left groin of 6\u2005months duration. The swelling was associated with a dull aching pain. The patient reported increase in size of the swelling during lifting of heavy weights. Menstrual history was normal and there was no increase in pain over the swelling during menstruation. She underwent a caesarean section 20\u2005years ago and the scar had healed by primary intention. She was provisionally diagnosed to have a left-sided inguinal hernia. Ultrasonography showed a multiloculated cyst measuring 5.3\u00d71.5\u00d75.2\u2005cm within the inguinal canal. The patient had excision of the cyst under spinal anaesthesia. Intraoperatively the cyst was found to arise from the left round ligament. It measured 7\u00d76\u2005cm extending to the left lateral vaginal wall. Histopathology revealed endometriosis of the round ligament. Her gynaecological assessment was normal and they recommended no further treatment. On follow-up the patient was asymptomatic and wound had healed well.<\/jats:p>","DOI":"10.1136\/bcr-2013-200465","type":"journal-article","created":{"date-parts":[[2013,8,19]],"date-time":"2013-08-19T08:33:25Z","timestamp":1376901205000},"page":"bcr2013200465","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":20,"title":["Endometriosis of extra-pelvic round ligament, a diagnostic dilemma for physicians"],"prefix":"10.1136","volume":"2013","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2260-1459","authenticated-orcid":false,"given":"Raghunath","family":"Prabhu","sequence":"first","affiliation":[{"name":"Department of Surgery, Kasturba Medical College, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil","family":"Krishna","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Kasturba Medical College, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajgopal","family":"Shenoy","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Kasturba Medical College, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siddharth","family":"Thangavelu","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Kasturba Medical College, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,8,19]]},"reference":[{"key":"2025082700574232000_2013.aug19_1.bcr2013200465.1","first-page":"191","article-title":"Inguinal endometriosis: pathogenetic and clinical implications","volume":"2013","author":"Candiani","year":"1991","journal-title":"Obstet Gynecol"},{"key":"2025082700574232000_2013.aug19_1.bcr2013200465.2","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1111\/j.1440-1673.2006.01667.x","article-title":"Inguinal endometriosis attaching to the round ligament","volume":"2013","author":"Hagiwara","year":"2007","journal-title":"Australas Radiol"},{"key":"2025082700574232000_2013.aug19_1.bcr2013200465.3","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1007\/s10029-004-0314-6","article-title":"Endometriosis of the round ligament: description of a clinical case and review of the literature","volume":"2013","author":"Licheri","year":"2005","journal-title":"Hernia"},{"key":"2025082700574232000_2013.aug19_1.bcr2013200465.4","first-page":"552","article-title":"Pleural and parenchymal pulmonary endometriosis","volume":"2013","author":"Foster","year":"1981","journal-title":"Obstet Gynecol"},{"key":"2025082700574232000_2013.aug19_1.bcr2013200465.5","first-page":"579","article-title":"Endometriosi del canale inguinale","volume":"2013","author":"Baccoli","year":"1999","journal-title":"Contributo Clinic Giorn it Ost Gin"},{"key":"2025082700574232000_2013.aug19_1.bcr2013200465.6","first-page":"109","article-title":"Extrapelvic endometriosis presenting as a hernia: clinical reports and review of the literature","volume":"2013","author":"Satalo","year":"1989","journal-title":"Surgery"},{"key":"2025082700574232000_2013.aug19_1.bcr2013200465.7","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1097\/00003086-199904000-00025","article-title":"Papillary clear cell adenocarcinoma of the groin arising from endometriosis","volume":"2013","author":"Klein","year":"1999","journal-title":"Clin Orthop"},{"key":"2025082700574232000_2013.aug19_1.bcr2013200465.8","first-page":"28","article-title":"Carcinoma in the inguinal region arising from endometriosis of the round ligament. Report of a case","volume":"2013","author":"Elemenoglu","year":"1993","journal-title":"Eur J Gynaecol Oncol"},{"key":"2025082700574232000_2013.aug19_1.bcr2013200465.9","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1007\/s00404-004-0624-z","article-title":"Inguinal endometriosis","volume":"2013","author":"Kapan","year":"2005","journal-title":"Arch Gynecol Obstet"},{"key":"2025082700574232000_2013.aug19_1.bcr2013200465.10","first-page":"157","article-title":"Endometriosis of the inguinal canal mimicking a hernia","volume":"2013","author":"Mashfiqul","year":"2007","journal-title":"Singapore Med J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-200465","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:57:48Z","timestamp":1756281468000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-200465"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,8,19]]},"references-count":10,"alternative-id":["10.1136\/bcr-2013-200465"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-200465","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,8,19]]}}}