Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
권호 표지
DOI QR코드

DOI QR Code

Mesothelial Cyst of the Round Ligament Mimicking a Metastasis: a Case Report

  • Kim, Bo-Mi (Department of Radiology, Ilsan Paik Hospital, Inje University, School of Medicine) ;
  • Lee, Ji-Young (Department of Radiology, Ilsan Paik Hospital, Inje University, School of Medicine) ;
  • Han, Yoon-Hee (Department of Radiology, Ilsan Paik Hospital, Inje University, School of Medicine) ;
  • Kim, Su-Young (Department of Radiology, Ilsan Paik Hospital, Inje University, School of Medicine) ;
  • Seo, Jung-Wook (Department of Radiology, Ilsan Paik Hospital, Inje University, School of Medicine) ;
  • Kim, Yong-Hoon (Department of Radiology, Ilsan Paik Hospital, Inje University, School of Medicine) ;
  • Cha, Soon-Joo (Department of Radiology, Ilsan Paik Hospital, Inje University, School of Medicine) ;
  • Hur, Gham (Department of Radiology, Ilsan Paik Hospital, Inje University, School of Medicine) ;
  • Joo, Mee (Department of Pathology, Ilsan Paik Hospital, Inje University, School of Medicine) ;
  • Lee, Eung-Soo (Department of Obstetrics and Gynecology, Ilsan Paik Hospital, Inje University, School of Medicine)
  • Received : 2009.07.24
  • Accepted : 2009.10.26
  • Published : 2010.06.01
⟨ Previous Next ⟩

Abstract

A mesothelial cyst of the round ligament is a rare cause of an inguinal mass. Clinically, it is frequently misdiagnosed as one of commoner diseases such as an inguinal hernia, femoral hernia, lipoma, and lymphadenopathy upon physical examination. Some previous reports elaborated the sonographic features of a mesothelial cyst of the round ligament. However, to our knowledge, few reports have described the CT features of a mesothelial cyst. We illustrated here the sonographic and multidetector CT features of a case of a mesothelial cyst of the round ligament that presented as an inguinal palpable mass and mimicked a metastasis in a patient with a Sertoli-Leydig cell tumor of the ovary.

Keywords

References

  1. Harper GB Jr, Awbrey BJ, Thomas CG Jr, Askin FB. Mesothelial cysts of the round ligament simulating inguinal hernia. Report of four cases and a review of the literature. Am J Surg 1986;151:515-517 https://doi.org/10.1016/0002-9610(86)90116-9
  2. Oh SN, Jung SE, Rha SE, Lim GY, Ku YM, Byun JY, et al. Sonography of various cystic masses of the female groin. J Ultrasound Med 2007;26:1735-1742 https://doi.org/10.7863/jum.2007.26.12.1735
  3. Warshauer DM, Mandel SR. Leiomyoma of the extraperitoneal round ligament: CT demonstration. Clin Imaging 1999;23:375- 376 https://doi.org/10.1016/S0899-7071(98)00021-7
  4. Oh SN, Jung SE, Lee JM, Chung JH, Park GS. Sonographic diagnosis of a round ligament cyst in the inguinal area. J Clin Ultrasound 2007;35:226-228 https://doi.org/10.1002/jcu.20282
  5. Khanna PC, Ponsky T, Zagol B, Lukish JR, Markle BM. Sonographic appearance of canal of Nuck hydrocele. Pediatr Radiol 2007;37:603-606 https://doi.org/10.1007/s00247-007-0481-6
  6. Park SJ, Lee HK, Hong HS, Kim HC, Kim DH, Park JS, et al. Hydrocele of the canal of Nuck in a girl: ultrasound and MR appearance. Br J Radiol 2004;77:243-244 https://doi.org/10.1259/bjr/51474597
  7. Stickel WH, Manner M. Female hydrocele (cyst of the canal of Nuck): sonographic appearance of a rare and little-known disorder. J Ultrasound Med 2004;23:429-432 https://doi.org/10.7863/jum.2004.23.3.429
  8. Ryley DA, Moorman DW, Hecht JL, Alper MM. A mesothelial cyst of the round ligament presenting as an inguinal hernia after gonadotropin stimulation for in vitro fertilization. Fertil Steril 2004;82:944-946 https://doi.org/10.1016/j.fertnstert.2004.03.042
  9. Cervini P, Mahoney J, Wu L. Endometriosis in the canal of Nuck: atypical manifestations in an unusual location. AJR Am J Roentgenol 2005;185:284-285 https://doi.org/10.2214/ajr.185.1.01850284
  10. Yang DM, Kim HC, Jin W, Ryu CW, Ryu JK, Nam DH, et al. Inguinal endometriosis presenting as a multicystic mass on sonography. J Ultrasound Med 2007;26:1449-1451 https://doi.org/10.7863/jum.2007.26.10.1449

Cited by

  1. Mesothelial Cyst of the Round Ligament Misdiagnosed as Irreducible Inguinal Hernia vol.2013, pp.None, 2013, https://doi.org/10.1155/2013/408078
  2. Mesothelial Cysts of the Round Ligament of the Uterus in 9 patients: A 15-year Experience vol.101, pp.3, 2016, https://doi.org/10.9738/intsurg-d-15-00159.1
  3. A Case of Mesothelial Cysts of the Round Ligament of Uterus in which Diagnostic Imaging was Useful vol.78, pp.7, 2010, https://doi.org/10.3919/jjsa.78.1605
  4. Resection of mesothelial cyst of uterine round ligament by laparoscopic transabdominal preperitoneal procedure alone or combined with open surgery vol.47, pp.11, 2019, https://doi.org/10.1177/0300060519865629