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

Authors

  • Baikuntha Narayan Mishra Department of Pediatric Surgery, AMRI Hospital, Bhubaneswar, Odisha, India
  • Sadasiba Padhy AMRI Hispital, bhubaneswar
  • Prabin Prakash Pahi Department of Pediatric Surgery, AMRI Hospital, Bhubaneswar, Odisha, India
  • Ranjit Kumar Joshi Department of Pediatric Surgery, AMRI Hospital, Bhubaneswar, Odisha, India

DOI:

https://doi.org/10.18203/2349-2902.isj20205912

Keywords:

Mesothelial cyst, Inguinal mass, Irreducible hernia

Abstract

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.

Author Biographies

Baikuntha Narayan Mishra, Department of Pediatric Surgery, AMRI Hospital, Bhubaneswar, Odisha, India

department of pediatrics

junior consultant

Sadasiba Padhy, AMRI Hispital, bhubaneswar

department of pediatric surgery

Consultant

Prabin Prakash Pahi, Department of Pediatric Surgery, AMRI Hospital, Bhubaneswar, Odisha, India

department of pediatrics

consultant

Ranjit Kumar Joshi, Department of Pediatric Surgery, AMRI Hospital, Bhubaneswar, Odisha, India

department of pediatrics

consultant

References

Harper GB, Awbrey BJ, Thomas CG, 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(4):515-7.

Vargas-avila AL, Gomez-Montaya LE, Guidos -GI JC, Avila-Rivera JL, Huerta-garcia de Leon, Medina-Tirado MA. Round ligament cyst simulating incarerated inguinal hernia. Report of a case. Cir Cir. 2017;85:334-8.

Tirnaksiz MB, Erkan A, Dogrul AB, Abbasoglu O. Mesothelial cysts of Round Ligament of the Uterus in 9 patients:15-year Experience. Int Surg. 2016;101:171-5.

Aarabi S, Drugas G, Avansino JR. Mesothelial cyst presenting as an irreducible inguinal mass. J Pediatr Surg. 2010;45(6):e19-21.

Vaos G, Zavras N, Velaoras K, Ereikat K. Mesothelial cyst of spermatic cord as a cause of acquires cryptorchism. Hernia. 2009;13:431-9.

Choi KW, Lee WY. A Mesothelial Cyst Presenting as Inguinal Mass: Two Case Reports and Literature Review. J Curr Surg. 2018;8(3-4):38-40.

Kubota K, Okazaki M, Miura Y,

Itabashi M, Mafune K, Kitajima M. Three cases of mesothelial cysts arising at the inguinal hernial sac. J Jap Surg Assoc. 2009;70(2):604-8.

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(4):944-6.

Cheng D, Lam H, Lam C. Round ligament varices in pregnancy mimicking inguinal hernia: an ultrasound diagnosis. Ultrasound Obstet Gynecol. 1997;9(3):198-9.

Warshauer DM, Mandel SR. Leiomyoma of the extraperitoneal round ligament: CT demonstration. Clin Imaging. 1999;23(6):375-6.

Anderson CC, Broadie TA, Mackey JE, Kopecky KK. Hydrocele of the canal of Nuck: ultrasound appearance. Am Surg. 1995;61(11):959-61.

Soon DS, Shitton H, Andrabi A. Mesothelial inclusion cyst: a rare occurrence. J Surg case rep. 2016;12:1-3.

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(3):429-32.

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Published

2020-12-28

Issue

Section

Case Reports