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Inguinal canal angioleiomyoma: case report of a rare disease entity within inguinal canal

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 a...

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Autores principales: Liu, Jianwen, Wei, Rockson, Yang, Xuefei, Shen, Xinping, Guan, Jing, Fan, Joe King Man
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5588679/
https://www.ncbi.nlm.nih.gov/pubmed/28877751
http://dx.doi.org/10.1186/s13104-017-2800-9
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author Liu, Jianwen
Wei, Rockson
Yang, Xuefei
Shen, Xinping
Guan, Jing
Fan, Joe King Man
author_facet Liu, Jianwen
Wei, Rockson
Yang, Xuefei
Shen, Xinping
Guan, Jing
Fan, Joe King Man
author_sort Liu, Jianwen
collection PubMed
description 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.
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spelling pubmed-55886792017-09-14 Inguinal canal angioleiomyoma: case report of a rare disease entity within inguinal canal Liu, Jianwen Wei, Rockson Yang, Xuefei Shen, Xinping Guan, Jing Fan, Joe King Man BMC Res Notes Case Report 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. BioMed Central 2017-09-06 /pmc/articles/PMC5588679/ /pubmed/28877751 http://dx.doi.org/10.1186/s13104-017-2800-9 Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Liu, Jianwen
Wei, Rockson
Yang, Xuefei
Shen, Xinping
Guan, Jing
Fan, Joe King Man
Inguinal canal angioleiomyoma: case report of a rare disease entity within inguinal canal
title 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_short 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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5588679/
https://www.ncbi.nlm.nih.gov/pubmed/28877751
http://dx.doi.org/10.1186/s13104-017-2800-9
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