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已发表论文
从盆腔到腹股沟：孤立盆腔肾女性非交通性残角子宫和子宫内膜异位症表现为腹股沟疝
Received 16 November 2025
Accepted for publication 9 February 2026
Published 11 February 2026 Volume 2026:18 581854
DOI https://doi.org/10.2147/IJWH.S581854
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Dr Vinay Kumar
Guoshuai Xu,* Wenqiang Li,* Jun Qu
Department of General Surgery, Aerospace Center Hospital, Beijing, 100049, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Jun Qu, Email qujunchief@163.com
Background: Müllerian anomalies complicated by extrapelvic endometriosis are uncommon, and herniation of Müllerian remnants into the inguinal canal is exceptionally rare. These complex presentations pose significant diagnostic challenges arising from intricate embryological maldevelopment, necessitating multidisciplinary collaboration to optimize both patient safety and fertility preservation.
Case Report: We report a case in which a non-communicating rudimentary uterine horn and endometriotic tissue presented as an incarcerated inguinal hernia in a woman with a solitary pelvic kidney. Multimodal imaging (3D ultrasound, CT with 3D reconstruction, and MRI) enabled preoperative mapping and guided a one-stage laparoscopic approach. Postoperative GnRH-agonist therapy was initiated for adjuvant suppression, and longer-term follow-up is ongoing.
Conclusion: This case underscores the importance of considering Müllerian anomalies and endometriosis in the differential diagnosis of inguinal masses in women with genitourinary malformations. Multidisciplinary integration of gynecological, urological, radiological, and surgical expertise is essential for accurate diagnosis and safe, fertility-sparing management.
Keywords: Müllerian anomaly, inguinal hernia, endometriosis, unicornuate uterus, multidisciplinary team
Department of General Surgery, Aerospace Center Hospital, Beijing, 100049, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Jun Qu, Email qujunchief@163.com
Background: Müllerian anomalies complicated by extrapelvic endometriosis are uncommon, and herniation of Müllerian remnants into the inguinal canal is exceptionally rare. These complex presentations pose significant diagnostic challenges arising from intricate embryological maldevelopment, necessitating multidisciplinary collaboration to optimize both patient safety and fertility preservation.
Case Report: We report a case in which a non-communicating rudimentary uterine horn and endometriotic tissue presented as an incarcerated inguinal hernia in a woman with a solitary pelvic kidney. Multimodal imaging (3D ultrasound, CT with 3D reconstruction, and MRI) enabled preoperative mapping and guided a one-stage laparoscopic approach. Postoperative GnRH-agonist therapy was initiated for adjuvant suppression, and longer-term follow-up is ongoing.
Conclusion: This case underscores the importance of considering Müllerian anomalies and endometriosis in the differential diagnosis of inguinal masses in women with genitourinary malformations. Multidisciplinary integration of gynecological, urological, radiological, and surgical expertise is essential for accurate diagnosis and safe, fertility-sparing management.
Keywords: Müllerian anomaly, inguinal hernia, endometriosis, unicornuate uterus, multidisciplinary team