Presentation
Fluctuating groins lump for 2 years.
Patient Data
Age: 35 years
Gender: Female
From the case:
Round ligament mesothelial cysts
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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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