Background: Inguinal endometriosis (IEM) is a rare extra pelvic endometriosis. Here, we study the clinical characteristics, management strategies, and long-term gynecological outcomes of IEM patients at Beijing Chaoyang Hospital. Case presentation: Three patients presented with a total of four lesions (one on the left side, one on the right side, and one bilaterally). The diameters of the four lesions were 2 cm, 2 cm, 3.5 cm and 1.5 cm, respectively. Two patients were admitted with inguinal hernias. Two patients were admitted with endometrioses—one with ovarian endometriosis and one with pelvic endometriosis. The hernia sac was repaired concomitantly via excision of the round ligament in two patients. One patient underwent a concomitant laparoscopy for gynecologic evaluations, including an ablation to the peritoneal endometriosis, and resection of the left uterosacral ligament endometriosis and pelvic adhesiolysis. All lesions were located on the extraperitoneal portion of the round ligament and were diagnosed histologically. No recurrence was observed in the inguinal region. All patients diagnosed with adenomyosis were treated with medication alone without any complaints. Conclusions: Inguinal endometriosis can occur simultaneously with pelvic endometriosis. In most cases, a concomitant hernia sac appears together with groin endometriosis. Clinical management should be individualized and performed in tandem with general practitioners and obstetrics & gynecology experts. Pelvic disease, in particular, should be followed-up by a gynecologist.

Objective: This study aimed to compare the clinical characteristics and surgical and histological outcomes of premenopausal and postmenopausal patients with adnexal torsion. Methods: The electronic medical records of 278 patients with adnexal torsion proven by surgery were retrospectively reviewed from January 2012 to November 2023 in our hospital. The patients were divided into two groups (premenopausal and postmenopausal). Results: The study included 226 (81.3%) premenopausal patients and 52 (18.7%) postmenopausal patients. The incidence of the most common symptoms (i.e., abdominal pain, nausea and/or vomiting) was not different between the two groups. However, the postmenopausal group had a longer interval from the onset of pain to admission, a larger size of adnexal mass, a longer operation time, more blood loss, and a longer hospital stay than the premenopausal group. Regarding the procedure, the premenopausal group underwent more conservative procedures than the postmenopausal group. The most common pathological findings in the two groups were benign tumors and tubal pathology The malignancy rate was similar in the two groups. Conclusions: Premenopausal and postmenopausal women with adnexal torsion had similar main symptoms, such as abdominal pain and nausea and vomiting. However, the surgical and histological outcomes varied between these groups of women.

Umbilical endometriosis (UE) is a rare condition. We have documented the clinical characteristics, management strategies, and follow-up results for five cases treated at our hospital between 1998 and 2020, with patients aged between 31 and 44 years. Patients typically presented with umbilical swelling. In all cases, surgical removal was effective and no complications were reported. Two patients had concurrent ovarian endometriosis and one adenomyosis. No umbilical recurrence was recorded during follow-up. We believe that these findings offer valuable insights for the management of this patient population. Clinical management strategies for this disease should be tailored to each patient and carried out collaboratively by both general and gynaecological physicians.

To compare the differences in clinical characteristics between different types of abdominal wall endometriosis (AWE) according to the invasive levels of ti

Background Adnexal masses during pregnancy is not rare. More and more evidences imply that operative laparoscopy for adnexal masses performed during pregnancy could be safe and feasible. We procured and evaluated the surgical, obstetric outcomes between laparoscopy and laparotomy for the management of adnexal masses during first and second trimester period in our hospital. Results 117 pregnant women with adnexal masses were treated by laparoscopy (69 cases) or laparotomy (48 cases) between July 2003 and March 2019. The laparoscopy group had a significantly lower blood loss (22.0 ± 3.4ml vs 41.7 ± 4.3ml, P = 0.0004), a shorter onset of flatus after operation (24.2 ± 0.1h vs 41.6 ± 1.9h, P < 0.0001) and a shorter hospital stay (3.5 ± 0.2 days vs 6.6 ± 0.2 days, < 0.0001) than the laparotomy group. No patient from either group required a blood transfusion. There is no significant difference in obstetric outcomes, including preterm labor and fetal loss. The median follow-up time was 3.5 years (range, 1.5–11.5 years) after surgery. The median age of the children was 2.5 years (range, 1-9.5 years). No notable abnormality was found. Conclusions In this retrospective study, compared with laparotomy, laparoscopy has successful outcome with lower blood loss, shorter onset of flatus after surgery, and shorter hospital stay, all of those suggest that operative laparoscopy could be promising for adnexal masses performed during pregnancy.