Round ligament mesothelial cysts

Case contributed by Dr Wen Jak Ma

Presentation

Fluctuating groins lump for 2 years.

Patient Data

Age: 35 years
Gender: Female
Modality: Ultrasound

Bilateral cystic lesions in inguinal canals. Medial to external iliac vessels and origins of inferior epigastric arteries. Round ligaments seen on cranial extent leading into them. Right cyst has internal coarse calcification, possibly from previous infection/inflammation. Right cyst is elliptical, while left cyst is more ovoid.

Case Discussion

Differentials include: varicosities of the round ligament, inguinal herniation of the ovary,
cystic lymphangiomas, epidermal inclusion cysts, abscesses, and pseudoaneurysms.

This may be similar pathology as cyst of canal of Nuck, which is more commonly diagnosed in pediatric patients.

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Case Information

rID: 17458
Case created: 16th Apr 2012
Last edited: 17th Jan 2016
System: Gynaecology
Inclusion in quiz mode: Included

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