Vrysis Christos, Gkatziolis Vasileios, Demetriou Nicole, Geroulis Konstantinos, Mastrogianni Rodanthi, Dais Alexandros, Giovanitis Dimitrios, Ponirakos Marios, Papadimitropoulos Konstantinos
Second Department of Surgery, 251 Hellenic Air Force General Hospital, Athens, Greece.
Department of Pathological Anatomy, 251 Hellenic Air Force General Hospital, Athens, Greece.
Acta Med Acad. 2024 Dec;53(3):314-319. doi: 10.5644/ama2006-124.455.
A wide range of lesions, including a mesothelial cyst of the uterine round ligament, are included in the differential diagnosis of a groin mass. Our study emphasizes the rarity of this ailment and the significance of correct preoperative diagnosis in guiding our treatment approach.
A 43-year-old female patient, presented to our hospital with a five-year history of swelling and slight discomfort in the right groin. A nonreducible inguinal mass with greater projection during a Valsalva maneuver was found. An abdominal CT scan revealed a well-defined lesion located near the right horn of the uterus and extending through the inguinal canal. The patient was brought to the operating room with the clinical suspicion of an inguinal hernia. A soft mass measuring 4.5×2×1.8cm was discovered in the right round ligament, and it was surgically removed. Histopathological examination confirmed a mesothelial cystic lesion. The patient's condition, after a period of 12 months, continues to be satisfactory.
Few cases of uterine round ligament mesothelial cysts have been reported worldwide. Their cause is unknown, and preoperative diagnosis is unreliable. Resection relieves symptoms, and histological examination of the surgical specimen confirms the diagnosis. Additional clinical cases are needed to create a systematic clinical approach.
腹股沟肿块的鉴别诊断包括多种病变，其中包括子宫圆韧带间皮囊肿。我们的研究强调了这种疾病的罕见性以及正确的术前诊断对指导治疗方法的重要性。
一名43岁女性患者，因右侧腹股沟肿胀和轻微不适五年前来我院就诊。发现一个不可回纳的腹股沟肿块，在瓦尔萨尔瓦动作时突出更明显。腹部CT扫描显示一个边界清晰的病变，位于子宫右角附近并延伸至腹股沟管。临床怀疑为腹股沟疝，将患者送入手术室。在右侧圆韧带中发现一个4.5×2×1.8cm的柔软肿块，并将其手术切除。组织病理学检查证实为间皮囊性病变。12个月后，患者情况持续良好。
全球范围内报道的子宫圆韧带间皮囊肿病例很少。其病因不明，术前诊断不可靠。切除可缓解症状，手术标本的组织学检查可确诊。需要更多临床病例以建立系统的临床方法。
