scholarly journals Mesothelial Cyst of the Round Ligament Misdiagnosed as Irreducible Inguinal Hernia

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Dimitrios K. Manatakis ◽  
Nikolaos Stamos ◽  
Christos Agalianos ◽  
Panagiotis Vamvakas ◽  
Athanasios Kordelas ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Inguinal Hernia ◽  
Signs And Symptoms ◽  
Clinical Findings ◽  
Cystic Mass ◽  
Definitive Diagnosis ◽  
Round Ligament ◽  
Ct Scans ◽  
Surgical Exploration ◽  
Mesothelial Cyst

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.

scholarly journals Mesothelial cyst in inguinal hernial sac in a male child: a case report

2020 ◽  
Vol 8 (1) ◽  
pp. 395
Author(s):  
Baikuntha Narayan Mishra ◽  
Sadasiba Padhy ◽  
Prabin Prakash Pahi ◽  
Ranjit Kumar Joshi
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Cystic Mass ◽  
Round Ligament ◽  
Male Child ◽  
Hernial Sac ◽  
Inguinal Area ◽  
Inguinal Mass ◽  
Mesothelial Cyst ◽  
Scrotal Swelling

Mesothelial cysts of inguinal area are extremely rare and few cases have been reported in females, arising from round ligament of uterus. Inguinal hernias are a common surgical problem in children presenting as an inguinal or inguino scrotal swelling. Usually the contents of hernial sac in a male child are intestine or omentum and in females  it may contain ovary. Mesothelial cyst of round ligament may present as an inguinal mass in females, but it is very rare to find in side inguinal hernial sac of a male child. Here in we report a case of 2 year 9-month-old male child, who was operated for irreducible right congenital inguinal hernia. A pedunculated cystic mass was found to be the content and was removed. Histopathology confirmed the diagnosis of mesothelial cyst. Because of rarity, we report this case.

Differential diagnosis between ventriculitis and fourth ventricle cyst in neurocysticercosis

1983 ◽  
Vol 59 (4) ◽  
pp. 660-663 ◽  
Author(s):  
Abelardo Salazar ◽  
Julio Sotelo ◽  
Hector Martinez ◽  
Francisco Escobedo
Keyword(s):  
Differential Diagnosis ◽  
Fourth Ventricle ◽  
Correct Diagnosis ◽  
Signs And Symptoms ◽  
Large Cyst ◽  
Content Type ◽  
Surgical Exploration ◽  
Precise Diagnosis ◽  
The Central Nervous System ◽  
Radiological Procedures

✓ The fourth ventricle is frequently affected in patients with cysticercosis of the central nervous system, due either to a large cyst occluding the cavity or to granular ependymitis (ventriculitis) as a consequence of diffuse inflammation within the intraventricular and subarachnoid spaces. In some cases, the differential diagnosis between these two forms of neurocysticercosis is difficult to make, even after special radiological procedures. It is important to establish the correct diagnosis, since a surgical approach is beneficial only when the fourth ventricle is obstructed by a large cyst. In this paper, the clinical differences between fourth ventricle cysts and ventriculitis are presented in 16 patients with neurocysticercosis who were subjected to surgical exploration of the posterior fossa. Patients with a large cyst occluding the fourth ventricle had a short evolution of signs and symptoms, Bruns' syndrome, and discrete or no inflammatory reaction in the cerebrospinal fluid (CSF). Patients with ventriculitis generally had a longer duration of signs and symptoms, Parinaud's syndrome, a consistently positive complement fixation test to cysticerci, and more cells and proteins in the CSF. The clinical picture and ancillary studies can give the precise diagnosis in most patients before surgical exploration is performed.

scholarly journals Round Ligament Leiomyoma Presenting as an Incarcerated Inguinal Hernia: Case Report and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Marc Najjar ◽  
Marc Mandel
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Inguinal Hernia ◽  
Round Ligament ◽  
Review Of The Literature ◽  
Incarcerated Hernia ◽  
Incarcerated Inguinal Hernia ◽  
Inguinal Mass ◽  
Gynecologic Tumors

Leiomyomas are common benign gynecologic tumors occurring in up to 30% of women. Round ligament leiomyomas however are very rare and, if symptomatic, can present as an inguinal hernia. We report the case of a 47-year-old woman who presented with an irreducible inguinal mass consistent with an incarcerated hernia. Intraoperatively, the mass was found to be a round ligament leiomyoma, a diagnosis that was confirmed by histopathology following excision of the mass. Although rare, round ligament leiomyomas should be part of the differential diagnosis of an inguinal hernia in females.

scholarly journals Inguinoscrotal swellings in childhood: a clinico-diagnostic approach to differential diagnosis

2020 ◽  
Vol 8 (9) ◽  
pp. 3235
Author(s):  
Dawood Iqbal Wani ◽  
Ankit Prabhakar ◽  
Shivani Sharma ◽  
Rezwana Nafees
Keyword(s):  
Differential Diagnosis ◽  
Inguinal Hernia ◽  
Young Male ◽  
Clinical Findings ◽  
Radiological Evaluation ◽  
Surgical Practice ◽  
Ectopic Testis ◽  
Wide Range ◽  
Scrotal Edema ◽  
Proper Diagnosis

Background: Inguinoscrotal diseases are one of the commonest group of disorders seen in clinical surgical practice. A wide range of swellings are seen in this region in children and includes hydrocele, torsion testis, ectopic testis, lymphadenopathy, inguinal hernias, cysts, epididymitis, orchitis, tumors etc. Vigilant clinical and radiological evaluation of inguinoscrotum for varying diseases helps in proper diagnosis and surgical management of its differential diagnosis.Methods: The present study was conducted as an observational study over a period of 10 months and enrolled a total of 50 patients.Results: In this study, 31 cases had hydrocele, 14 cases had inguinal hernia, 2 cases had epididymorchitis, 2 cases had lymphadenopathy and one case had idiopathic scrotal edema. Individual diseases had varying presentations, clinical findings and post-operative findings.Conclusions: There is a varying broad spectrum of swellings in the inguinoscrotal region in young male children. It was concluded that proper clinical and radiological evaluation of the patient helps to timely diagnose the disease and hence help in identifying correct approach to the management of the case.

scholarly journals Infected Hydrocele of the Canal of Nuck

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Parkash Mandhan ◽  
Zaid Raouf ◽  
Khalid Bhatti
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Inguinal Hernia ◽  
Female Child ◽  
High Ligation ◽  
Risk Of Infection ◽  
Incarcerated Inguinal Hernia ◽  
Surgical Exploration ◽  
Canal Of Nuck ◽  
Exploration Risk

Hydrocele of the canal of Nuck in children is rare. It may present as incarcerated inguinal hernia and necessitates emergency exploration. Risk of infection in hydrocele of the canal of nuck is very rare. We present a case report of a 5-year-old girl who presented with a left tender inguinolabial region swelling with fever, tachycardia, and mild dehydration. The clinical features were suggestive of strangulated left inguinal hernia and further imaging and surgical exploration revealed it to be an infected hydrocele of the canal of Nuck. High ligation and hydrocelectomy were performed. Hydrocele of the canal of Nuck in a female child presenting with an inguinal swelling should be considered in differential diagnosis.

A Rare Cause of Inguinal Mass: Round Ligament Cyst

2018 ◽  
Vol 90 (3) ◽  
pp. 47-52 ◽  
Author(s):  
Mani Habibi ◽  
Mehmet Kazak ◽  
Hatice Arioz Habibi ◽  
Nurullah Bulbuller
Keyword(s):  
Inguinal Hernia ◽  
Magnetic Resonance ◽  
Magnetic Resonance Images ◽  
Round Ligament ◽  
Inguinal Region ◽  
Inguinal Mass ◽  
Mesothelial Cyst

Round ligament mesothelial cyst is a rare cause of inguinal mass. Round ligament cysts are generally diagnosed during operation in cases who are operated with a pre-diagnosis of inguinal hernia. In this study, we aim to present two cases, who have applied to our clinic with the complaint of a mass in inguinal region and who are diagnosed as round ligament cyst, together with their ultrasound, magnetic resonance images and operation images.

scholarly journals Ultrasound evaluation of dialysis access-related distal ischaemia

2021 ◽  
pp. 112972982093242
Author(s):  
N Pirozzi ◽  
L De Alexandris ◽  
J Scrivano ◽  
L Fazzari ◽  
J Malik
Keyword(s):  
Differential Diagnosis ◽  
Ultrasound Examination ◽  
Preoperative Evaluation ◽  
Signs And Symptoms ◽  
Central Vein ◽  
Dialysis Access ◽  
Needed Information ◽  
Vein Catheter ◽  
Ultrasound Evaluation ◽  
Central Vein Catheter

Dialysis access-related distal ischaemia is a rare yet potentially rather risky complication of haemodialysis angioaccess. Timely diagnosis is crucial to target both the goals of the access team: first of all to preserve the function of the hand ideally along with angioaccess patency. Unfortunately for some patients, urgent access ligation and central vein catheter insertion would be needed to save the hand. After a first clinical examination to determine the diagnostic suspicion, the ultrasound evaluation would provide nearly all the needed information to confirm the diagnosis and to determine the most appropriate procedure to rescue the patient from distal ischaemia. In some cases, photoplethysmography would help in the differential diagnosis of other non-ischaemic causes of similar signs and symptoms. Angiography would complete the preoperative evaluation for some. Dialysis access-related distal ischaemia would be briefly reviewed, and a deep description of the ultrasound examination tools and findings would be provided for a tailored therapeutic approach.

scholarly journals Leiomyoma originating from left round ligament presents as symptomatic inguinal hernia

2021 ◽  
Vol 9 (7) ◽  
Author(s):  
Konstantinos Kypriotis ◽  
Nikolaos Kathopoulis ◽  
Maria Tsiriva ◽  
Dimitrios Zacharakis ◽  
Ioannis Chatzipapas ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Round Ligament
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