Inguinal canal angioleiomyoma: case report of a rare disease entity within inguinal canal
Abstract Background Angioleiomyoma is an uncommon benign soft tissue tumor and originates from the vascular smooth muscle. It often causes pain and is rarely found in inguinal region. We present a rare case of inguinal canal angioleiomyoma of a female patient who suffered from right groin pain for 4...
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doaj-0910566c512a4ee6b9a14aa0e94d81522020-11-25T01:56:34ZengBMCBMC Research Notes1756-05002017-09-011011410.1186/s13104-017-2800-9Inguinal canal angioleiomyoma: case report of a rare disease entity within inguinal canalJianwen Liu0Rockson Wei1Xuefei Yang2Xinping Shen3Jing Guan4Joe King Man Fan5Department of Surgery, The University of Hong Kong-Shenzhen HospitalDepartment of Surgery, The University of Hong Kong, Li Ka Shing Faculty of MedicineDepartment of Surgery, The University of Hong Kong-Shenzhen HospitalDepartment of Diagnostic Radiology, The University of Hong Kong-Shenzhen HospitalDepartment of Pathology, The University of Hong Kong-Shenzhen HospitalDepartment of Surgery, The University of Hong Kong-Shenzhen HospitalAbstract Background Angioleiomyoma is an uncommon benign soft tissue tumor and originates from the vascular smooth muscle. It often causes pain and is rarely found in inguinal region. We present a rare case of inguinal canal angioleiomyoma of a female patient who suffered from right groin pain for 4 years and mimicking inguinal hernia clinically. Presentation of case A 53-year-old Chinese female patient presented with 4-year history of right groin pain which was exacerbated by movement. Magnetic resonance imaging was performed in view of atypical presentation and absence of cough impulse. Inguinal canal was subsequently explored by open approach and the mass was found arising from the posterior wall of the inguinal canal and measured 5.2 cm × 3.8 cm. The posterior wall was repaired by Bassini approach after the mass was resected en-bloc. Inguinal pain was resolved and no hernia was found during follow-up. Pathology of the resected specimen confirmed angioleiomyoma with clear resection margins. Conclusion This is the first report of a case of angioleiomyoma of the inguinal canal, which presents as a painful mass. Magnetic resonance imaging should be considered when presenting history and physical examination does not confirm with the diagnosis of inguinal hernia. After inguinal canal exploration, suture or mesh repair should be performed to prevent weakening of posterior wall leading to inguinal hernia.http://link.springer.com/article/10.1186/s13104-017-2800-9AngioleiomyomaInguinal massInguinal neoplasmInguinal explorationCase report |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jianwen Liu Rockson Wei Xuefei Yang Xinping Shen Jing Guan Joe King Man Fan |
spellingShingle |
Jianwen Liu Rockson Wei Xuefei Yang Xinping Shen Jing Guan Joe King Man Fan Inguinal canal angioleiomyoma: case report of a rare disease entity within inguinal canal BMC Research Notes Angioleiomyoma Inguinal mass Inguinal neoplasm Inguinal exploration Case report |
author_facet |
Jianwen Liu Rockson Wei Xuefei Yang Xinping Shen Jing Guan Joe King Man Fan |
author_sort |
Jianwen Liu |
title |
Inguinal canal angioleiomyoma: case report of a rare disease entity within inguinal canal |
title_short |
Inguinal canal angioleiomyoma: case report of a rare disease entity within inguinal canal |
title_full |
Inguinal canal angioleiomyoma: case report of a rare disease entity within inguinal canal |
title_fullStr |
Inguinal canal angioleiomyoma: case report of a rare disease entity within inguinal canal |
title_full_unstemmed |
Inguinal canal angioleiomyoma: case report of a rare disease entity within inguinal canal |
title_sort |
inguinal canal angioleiomyoma: case report of a rare disease entity within inguinal canal |
publisher |
BMC |
series |
BMC Research Notes |
issn |
1756-0500 |
publishDate |
2017-09-01 |
description |
Abstract Background Angioleiomyoma is an uncommon benign soft tissue tumor and originates from the vascular smooth muscle. It often causes pain and is rarely found in inguinal region. We present a rare case of inguinal canal angioleiomyoma of a female patient who suffered from right groin pain for 4 years and mimicking inguinal hernia clinically. Presentation of case A 53-year-old Chinese female patient presented with 4-year history of right groin pain which was exacerbated by movement. Magnetic resonance imaging was performed in view of atypical presentation and absence of cough impulse. Inguinal canal was subsequently explored by open approach and the mass was found arising from the posterior wall of the inguinal canal and measured 5.2 cm × 3.8 cm. The posterior wall was repaired by Bassini approach after the mass was resected en-bloc. Inguinal pain was resolved and no hernia was found during follow-up. Pathology of the resected specimen confirmed angioleiomyoma with clear resection margins. Conclusion This is the first report of a case of angioleiomyoma of the inguinal canal, which presents as a painful mass. Magnetic resonance imaging should be considered when presenting history and physical examination does not confirm with the diagnosis of inguinal hernia. After inguinal canal exploration, suture or mesh repair should be performed to prevent weakening of posterior wall leading to inguinal hernia. |
topic |
Angioleiomyoma Inguinal mass Inguinal neoplasm Inguinal exploration Case report |
url |
http://link.springer.com/article/10.1186/s13104-017-2800-9 |
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