Mesothelial Cyst of the Round Ligament Misdiagnosed as Irreducible Inguinal Hernia

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

doi:10.1155/2013/408078

Mesothelial Cyst of the Round Ligament Misdiagnosed as Irreducible Inguinal Hernia

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Dimitrios K. Manatakis

1st Surgical Department, Athens Naval and Veterans Hospital, 70 Dinokratous street, 11521 Athens, Greece
Nikolaos Stamos

1st Surgical Department, Athens Naval and Veterans Hospital, 70 Dinokratous street, 11521 Athens, Greece
Christos Agalianos

1st Surgical Department, Athens Naval and Veterans Hospital, 70 Dinokratous street, 11521 Athens, Greece
Panagiotis Vamvakas

1st Surgical Department, Athens Naval and Veterans Hospital, 70 Dinokratous street, 11521 Athens, Greece
Athanasios Kordelas

Department of Pathology, Athens Naval and Veterans Hospital, 70 Deinokratous Street, 11521 Athens, Greece
Demetrios Davides

1st Surgical Department, Athens Naval and Veterans Hospital, 70 Dinokratous street, 11521 Athens, Greece

抄録

<jats:p>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.</jats:p>