Inguinal canal spermatic cord leiomyoma presenting as an incarcerated inguinal hernia

BMJ Case Rep. 2017 Aug 17:2017:bcr2016218082. doi: 10.1136/bcr-2016-218082.

Abstract

Leiomyoma is a benign neoplasm originating from smooth muscle cells and is most commonly seen in the uterus, followed by the small bowel and oesophagus. We report a rare case of a 41-year-old male patient with a spermatic cord leiomyoma that presented as an inguinal canal mass mimicking an irreducible inguinal hernia without scrotal involvement. This report highlights the rare presentation and workup of an inguinal mass, importance of intraoperative decision making based on operative findings and the significance of postoperative pathology findings.

Keywords: General Surgery; Oncology; Surgery; Surgical Oncology.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Decision Making
  • Diagnosis, Differential
  • Hernia, Inguinal / diagnosis*
  • Humans
  • Inguinal Canal / diagnostic imaging
  • Inguinal Canal / pathology*
  • Leiomyoma / pathology*
  • Leiomyoma / surgery
  • Leiomyoma / ultrastructure
  • Male
  • Spermatic Cord / pathology*
  • Tomography, X-Ray Computed
  • Treatment Outcome