A Case of Cavernous Hemangioma in the Inguinal Canal

  • Hamada Hiroshi
    Division of Pediatric Surgery, Department of Surgery, Kansai Medical University
  • Hamada Yoshinori
    Division of Pediatric Surgery, Department of Surgery, Kansai Medical University
  • Shirai Takeshi
    Division of Pediatric Surgery, Department of Surgery, Kansai Medical University
  • Takahashi Yoshiaki
    Department of Pediatric Surgery, Graduate School of Medical Sciences, Kyushu University
  • Sakaguchi Tatsuma
    Division of Pediatric Surgery, Department of Surgery, Kansai Medical University
  • Nakamura Yusuke
    Division of Pediatric Surgery, Department of Surgery, Kansai Medical University
  • Morotomi Yoshiki
    Division of Pediatric Surgery, Osaka City University
  • Kon Masanori
    Department of Surgery, Kansai Medical University

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Other Title
  • 鼠径管内に発生した血管腫の1例
  • 症例報告 鼠径管内に発生した血管腫の1例
  • ショウレイ ホウコク ソケイカン ナイ ニ ハッセイ シタ ケッカン シュ ノ 1レイ

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Abstract

<p>In this report, we present a case of extremely rare cavernous hemangioma (venous malformation) in the inguinal canal. An 11-year-old boy was brought to our hospital, because of a painless palpable mass in the left inguinal region since infancy. He was diagnosed as having left inguinal hernia. The exploration using an inguinal approach showed a blue hyaline-like mass in the inguinal canal, so we suspected varicocele testis. During the operation, the mass was totally resected, and histopathological analytical results led to the discovery of a cavernous hemangioma. To the best of our knowledge, this is the second reported pediatric case of hemangioma in the inguinal canal. In the case of untypical inguinal hernia, we should consider the differential diagnosis of lesions in the inguinal region, and we must perform ultrasonography tests, medical history investigation, and physical examination. Retrospectively, ultrasonography revealed an enhanced posterior shadow, which is a characteristic finding of hemangioma, and it was considered to be an important finding in untypical inguinal hernia.</p>

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