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. 2013:2013:408078.
doi: 10.1155/2013/408078. Epub 2013 Sep 18.

Mesothelial cyst of the round ligament misdiagnosed as irreducible inguinal hernia

Dimitrios K Manatakis  1 , Nikolaos Stamos, Christos Agalianos, Panagiotis Vamvakas, Athanasios Kordelas, Demetrios Davides
Affiliations

Mesothelial cyst of the round ligament misdiagnosed as irreducible inguinal hernia

Dimitrios K Manatakis et al. Case Rep Surg. 2013.

Abstract

We report the case of a 36-year-old woman who presented with signs and symptoms of an irreducible inguinal hernia. Surgical exploration revealed a mesothelial cyst of the round ligament of the uterus. Mesothelial cysts of the round ligament are rare lesions, frequently masquerading as inguinal hernias, and should be included in the differential diagnosis of any inguinal mass. Clinical findings are those of a groin mass, discomfort, and bulging. Ultrasound and CT scans often demonstrate an aperistaltic cystic mass. Definitive diagnosis is usually made intraoperatively and confirmed histopathologically.

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Figures

Figure 1
Figure 1
Intraoperative photograph of the mesothelial cyst originating from the round ligament.
Figure 2
Figure 2
Apoptosis of papillae into the cyst lumen (H&E ×20).
Figure 3
Figure 3
Calretinin stain (IHC ×100).
Figure 4
Figure 4
Endometriotic tissue (lower right) adjacent to the cystic wall (H&E ×20).
See this image and copyright information in PMC

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