Adenomyoma of the round ligament of the uterus in the inguinal canal: a case report.

Adenomyoma originating from the round ligament of the uterus represents a remarkably uncommon pathological entity. Considering the anatomical course of the round ligament through the inguinal canal, pathological lesions in this structure may clinically present as pelvic or inguinal masses, thereby requiring differentiation from a broad spectrum of alternative pathological conditions. Of particular clinical significance, adenomyoma-associated manifestations causing inguinal hernia remain exceedingly rare, with definitive diagnostic confirmation contingent upon histopathological verification. We herein present a case of primary round ligament adenomyoma localized within the inguinal canal, with the objective of enhancing clinical awareness and providing evidence-based guidance and optimizing diagnostic and therapeutic decision-making in comparable clinical scenarios.