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Gu J, Liu C. The clinical value of ultrasound in assessing ovarian strangulation in female infants and toddlers with ovarian hernia. Front Pediatr 2024; 12:1366516. [PMID: 38840801 PMCID: PMC11150631 DOI: 10.3389/fped.2024.1366516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/06/2024] [Accepted: 05/13/2024] [Indexed: 06/07/2024] Open
Abstract
Objective To explore the clinical value of ultrasound examination in evaluating the presence of ovarian torsion in female infants with inguinal ovarian hernia. Methods We conducted a retrospective analysis of 91 cases of ovarian hernia diagnosed by ultrasonography at our institution. Among them, 6 cases were identified as ovarian strangulation, while 85 cases were classified as non-ovarian strangulation. All cases underwent high-frequency ultrasound examination. We analyzed whether there were differences in the associated factors between the two groups and compared the disparities in the urgency of surgery between the two groups. Results Significant differences were observed between the ovarian strangulation group and the non- strangulation group in terms of ovarian volume, ovarian blood flow, and the presence of incarceration. The need for emergency surgery was significantly associated with the presence of incarceration and ovarian torsion. Conclusion Ultrasound has good clinical value in diagnosing ovarian hernia and determining the presence of ovarian strangulation. It can assist clinical physicians in determining the timing of surgery for children with ovarian hernia.
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Affiliation(s)
| | - Chen Liu
- Department of Medical Ultrasonics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
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Atri S, Zaiem A, Sebai A, El Aifia R, Haddad A, Kacem M. Torsion of funiculocele presenting as an incarcerated hernia: A rare case. Int J Surg Case Rep 2024; 117:109547. [PMID: 38522305 PMCID: PMC10973810 DOI: 10.1016/j.ijscr.2024.109547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2024] [Revised: 03/10/2024] [Accepted: 03/14/2024] [Indexed: 03/26/2024] Open
Abstract
INTRODUCTION Inguinal hernia is common, but the groin area can host various pathologies. Distinguishing clinically between hernias and rare conditions like torsion of funiculocele poses challenges due to similar presentations. CASE PRESENTATION A 50-year-old man, with a 10-year-history of a groin mass, presented with a painful groin mass, initially diagnosed as a strangulated hernia. In surgery, a torsion of a cyst was identified, and it was attached to the spermatic cord. A detorsion of the cyst and an excision were successfully performed. The patient recovered well with no recurrence. DISCUSSION The most common causes of acute groin pain are injury, incarcerated hernia, kidney stone and bone fracture. Additionally, funiculocele can cause groin pain or discomfort. Funiculocele, a rare congenital anomaly, typically affects pediatric patients. A torsion of funiculocele is easily confused with an incarcerated hernia. Ultrasonography plays a crucial role in confirmation. Although unusual, a torsion of a cyst can occur, necessitating surgical excision. CONCLUSION Funiculocele in adults, mimicking hernias, is rare but requires timely surgical intervention to prevent complications. Awareness of this anomaly is vital for accurate diagnosis and appropriate management.
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Hydrocele of the Nuck canal. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2023. [DOI: 10.1016/j.epsc.2022.102502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
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4
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Lee PY, Chen HA, Chiu YC, Chu SE, Chang CJ, Huang CY, Sim SS, Wang LH, Sun JT. A Woman With Abdominal Pain. Ann Emerg Med 2022; 80:e3-e4. [PMID: 35717124 DOI: 10.1016/j.annemergmed.2022.01.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Indexed: 11/19/2022]
Affiliation(s)
- Peng-Yu Lee
- Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan
| | - Hsuan-An Chen
- Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan
| | - Yu-Chen Chiu
- Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan
| | - Sheng-En Chu
- Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan
| | - Chih-Jung Chang
- Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan
| | - Chun-Yen Huang
- Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan
| | - Shyh-Shyong Sim
- Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan
| | - Liang-Han Wang
- Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan
| | - Jen-Tang Sun
- Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan
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Retroperitoneal Microfilarial Lymph Varix Mimicking Inguinal Hernia. Indian J Surg 2021. [DOI: 10.1007/s12262-021-02737-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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6
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Ebey BN, Naouar S, Faidi B, Lahouar R, Ben Khalifa B, El Kamel R. Pleomorphic spermatic cord liposarcoma: A case report and review of management. Int J Surg Case Rep 2021; 81:105725. [PMID: 33740530 PMCID: PMC7995474 DOI: 10.1016/j.ijscr.2021.105725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Revised: 02/28/2021] [Accepted: 03/03/2021] [Indexed: 11/17/2022] Open
Abstract
Liposarcoma of the spermatic cord is very rare, representing about 7% of para testicular sarcomas. It is considered to be one of the highest malignancy grades. We present a case of a liposarcoma of the spermatic cord in a 45-year-old male complaining of a progressive painless swelling in the right inguinoscrotal region. Ultrasonography and computed tomography findings were compatible with liposarcoma of the spermatic cord. We performed a right radical orchiectomy with a wide resection of the mass. Histological examination confirmed the diagnosis and showed a pleomorphic subtype. The mainstay of management of spermatic cord liposarcoma is wide excision with radical orchiectomy. The most important factors for prognosis are the histologic subtype and surgical margin status. Adjuvant radiotherapy should be considered in cases at high risk for local recurrence. Long-term surveillance is mandatory. Liposarcoma of the spermatic cord is an uncommon para testicular tumor which should be part of the differential diagnosis of inguinoscrotal mass. A radical inguinal orchiectomy with wide resection of the soft tissue mass and the spermatic cord are the key to longest local and systemic disease-free survival.
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Affiliation(s)
- Babe Nejib Ebey
- Urology Department, Les Aghlabides Surgical Division, Ibn Jazzar Teaching Hospital, Rue Hassan Ibn Nouaman, 3100, Kairouan, Tunisia.
| | - Sahbi Naouar
- Urology Department, Les Aghlabides Surgical Division, Ibn Jazzar Teaching Hospital, Rue Hassan Ibn Nouaman, 3100, Kairouan, Tunisia.
| | - Bilel Faidi
- Surgery Department, Les Aghlabides Surgical Division, Ibn Jazzar Teaching Hospital, Rue Hassan Ibn Nouaman, 3100, Kairouan, Tunisia.
| | - Rayen Lahouar
- Urology Department, Les Aghlabides Surgical Division, Ibn Jazzar Teaching Hospital, Rue Hassan Ibn Nouaman, 3100, Kairouan, Tunisia.
| | - Badreddine Ben Khalifa
- Urology Department, Les Aghlabides Surgical Division, Ibn Jazzar Teaching Hospital, Rue Hassan Ibn Nouaman, 3100, Kairouan, Tunisia.
| | - Rafik El Kamel
- Urology Department, Les Aghlabides Surgical Division, Ibn Jazzar Teaching Hospital, Rue Hassan Ibn Nouaman, 3100, Kairouan, Tunisia.
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Hoyos Brumbaugh ML, Drake B, Babij R. Complicated, Complete, Indirect, Irreducible Right Inguinoscrotal Hernia. JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY 2021. [DOI: 10.1177/8756479320962010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Inguinal hernias are the most common of all hernias. A complicated hernia is irreducible, and the contents are obstructed or strangulated. Sonography is considered the imaging modality of choice for the diagnosis of abnormalities of the inguinal area. This case study is about a patient with an inguinal hernia that had not been repaired and progressed into a life-threatening, complicated inguinoscrotal hernia. The patient’s complaints and clinical findings required sonographic examinations of the abdomen, pelvis, inguinal canal, and scrotum. Sonographic findings were corroborated by findings with computed tomography (CT). After the compromised intestine was resected and the hernia was repaired, the patient developed a deep vein thrombosis (DVT), identified sonographically. The patient was successfully treated and discharged.
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Affiliation(s)
| | - Bryan Drake
- Retired, Family Medical Center, Weiser Memorial Hospital, Weiser, ID, USA
| | - Roman Babij
- Specialty Clinic, General Surgery, Weiser Memorial Hospital, Weiser, ID, USA
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Köckerling F, Schug-Pass C. Spermatic Cord Lipoma-A Review of the Literature. Front Surg 2020; 7:39. [PMID: 32793626 PMCID: PMC7393947 DOI: 10.3389/fsurg.2020.00039] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Accepted: 05/27/2020] [Indexed: 11/30/2022] Open
Abstract
Introduction: A spermatic cord lipoma is found in 20–70% of all inguinal hernia repairs. The clinical picture of an inguinal hernia with bulging and pain but without an actual indirect hernia sac may become manifest in up to 8% of these cases. Missed spermatic cord lipoma can result in recurrence or pseudo-recurrence. This review presents the relevant literature on this topic. Materials and Methods: A systematic search of the available literature was performed in February 2020 using Medline, PubMed, Google Scholar, Scopus, Embase, Springer Link, and the Cochrane Library, as well as a search of relevant journals and reference lists. Forty-two publications were identified as relevant for this topic. Results: Spermatic cord lipoma seems to originate from preperitoneal fatty tissue within the internal spermatic fascia in topographical proximity to the arteries, veins, lymphatics, nerves, and deferent duct within the spermatic cord. Reliable diagnosis cannot be made clinically, but rather with ultrasound, CT, or MRI. In the absence of a real hernia sac, a spermatic cord lipoma is classified as a lateral inguinal hernia with a defect size <1.5 cm according to the European Hernia Society (EHS LI). Missed or inadequately treated spermatic cord lipoma results in recurrence or pseudo-recurrence. Since spermatic cord lipoma obtains its vascular supply from the preperitoneal space, it can be reduced or resected. Conclusion: Spermatic cord lipoma is a common finding in inguinal hernia repairs and must be properly diagnosed and treated with care respecting the anatomy of the spermatic cord.
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Affiliation(s)
- Ferdinand Köckerling
- Department of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Berlin, Germany
| | - Christine Schug-Pass
- Department of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Berlin, Germany
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Using Point-of-Care Ultrasound to Characterize Acute Inguinal Swelling of Young Children in the Pediatric Emergency Department. Pediatr Emerg Care 2020; 36:304-307. [PMID: 32011551 DOI: 10.1097/pec.0000000000002014] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Acute inguinal swelling in young children is frequently assumed to be an inguinal hernia, often prompting a bedside reduction attempt. We report 3 cases of inguinal swelling where the use of point-of-care ultrasound changed the patients' management by identifying an alternate diagnosis, thus avoiding unnecessary and painful procedures as well as their associated sedation risks.
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Seelig MH, Winkels R, Wiese M, Weyhe D. Spermatic cord liposarcomas incidentally found during hernia surgery: is histology of any lipoma mandatory? A review of the literature. Acta Chir Belg 2020; 120:79-84. [PMID: 31690184 DOI: 10.1080/00015458.2019.1689645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Purpose: Liposarcomas found incidentally during open or laparoscopic inguinal hernia surgery are extremely rare. It is unclear, whether any adipose tissue being removed during inguinal hernia surgery must be sent for histology due to the potential risk of liposarcoma of the spermatic cord. This study aims to evaluate the frequency of liposarcomas incidentally found in the inguinal canal during hernia surgery and tries to derive evidence-based recommendations regarding the optimal management of any fatty tissue found in the inguinal canal.Methods: A literature review of the PubMed/Medline electronic databases between January 1980 and January 2019 was performed using the search terms 'inguinal hernia' and 'liposarcoma'. There was only one study available on this topic. Therefore, an additional literature review was performed analyzing all reports on patients with incidentally detected liposarcomas of the spermatic cord in the inguinal canal during hernia surgery.Results: There was only one retrospective study evaluating the frequency of inguinal liposarcoma found at hernia operations with a frequency of less than 0.1%. There were 18 cases of spermatic cord liposarcomas that were truly found incidentally during operation for an unsuspected symptomatic or incarcerated inguinal hernia. These included 16 case reports with a total of 18 patients and 19 liposarcomas. All patients were male with a median age of 62.5 years (range: 24-86 years) years. Median size of liposarcoma was 10.5 cm (range: 3-30 cm). In seven patients, the inguinal liposarcoma was an extension of a retroperitoneal sarcoma. Treatment consisted of radical orchidectomy during the primary operation in 12 patients. Three out of the seven patients with retroperitoneal extension of the tumor underwent a secondary operation with complete resection of the tumor.Conclusions: Currently, there is no evidence-based recommendation available regarding the management of lipomas detected during open or laparoscopic inguinal hernia surgery. Due to the extremely low risk of the presence of a liposarcoma, routine histologic examination cannot be recommended unless the diameter exceeds 10 cm.
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Affiliation(s)
- Matthias H. Seelig
- Department of General-, Visceral-, Thoracic- and Vascular Surgery, Kliniken Frankfurt-Main-Taunus, Bad Soden Am Taunus, Germany
| | - Raphael Winkels
- Department of General-, Visceral-, Thoracic- and Vascular Surgery, Kliniken Frankfurt-Main-Taunus, Bad Soden Am Taunus, Germany
| | | | - Dirk Weyhe
- Department for Human Medicine, Pius Hospital, Medical Campus University of Oldenburg, University Hospital for Visceral Surgery, Oldenburg, Germany
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11
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Shahid F, El Ansari W, Ben-Gashir M, Abdelaal A. Laparoscopic hydrocelectomy of the canal of Nuck in adult female: Case report and literature review. Int J Surg Case Rep 2019; 66:338-341. [PMID: 31918159 PMCID: PMC7013182 DOI: 10.1016/j.ijscr.2019.11.040] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2019] [Revised: 11/30/2019] [Accepted: 12/10/2019] [Indexed: 11/28/2022] Open
Abstract
A very rare case of hydrocele of canal of Nuck in elderly lady. This case expands the clinical and intraoperative potential differential diagnosis of adult female groin masses. Hydrocele of canal of Nuck must be considered one of the differential diagnosis in ladies with inguinal masses. Laparoscopic TAPP is superior to open approach in managing such cases. Probably the first case of hydrocele of canal of Nuck in adult female operated laparoscopically in the Middle East and North Africa (MENA) Region, and the fourth such case worldwide.
Introduction Among adult females, Hydrocele of Canal of Nuck (HCN) is a very rare condition. The majority of the reported cases of HCN were not conclusively diagnosed until surgery was performed on a suspected inguinal hernia. To the best of our knowledge, this is the first case of laparoscopically operated HCN in adult female in Middle East and North Africa Region, and the fourth such case worldwide. Presentation of case A 36-year-old female presented with a painful small swelling in the right groin of 3 months duration. The swelling extended to the right labia majora while standing, and disappeared when the patient was in prone position. There was no lymph node enlargement, no other masses in the abdomen, and no swelling in the contralateral side. Ultrasonography was undertaken and the patient was admitted electively for laparoscopic exploration and repair of non-complicated right inguinal hernia. She was known to have dyslipidemia on medications. Further history and physical examination were unremarkable. Intraoperatively it was diagnosed to be right-sided HCN which was excised and repaired by mesh fixation using transabdominal preperitoneal (TAPP) approach. Her follow up course was unremarkable. Conclusions This case expands the clinical and intraoperative potential differential diagnosis of adult female groin masses. Surgeons should consider such cases when they observe such swellings intraoperatively. Laparoscopic TAPP approach in such cases is a superior diagnostic and treatment modality.
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Affiliation(s)
- Fakhar Shahid
- Department of General Surgery, Hamad Medical Corporation, Doha, Qatar.
| | - Walid El Ansari
- Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar; College of Medicine, Qatar University, Doha, Qatar; School of Health and Education, University of Skövde, Skövde, Sweden.
| | - Mohamed Ben-Gashir
- Department of Laboratory Medicine and Pathology, Hamad Medical Corporation, Doha, Qatar.
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Yang DM, Kim HC, Kim SW, Won KY. Groin abnormalities: ultrasonographic and clinical findings. Ultrasonography 2019; 39:166-177. [PMID: 31786905 PMCID: PMC7065985 DOI: 10.14366/usg.19041] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2019] [Accepted: 08/05/2019] [Indexed: 12/27/2022] Open
Abstract
Groin lesions can be classified as neoplastic or non-neoplastic. Neoplastic lesions include lipoma, epidermoid cyst, angiomyofibroblastoma-like tumor, liposarcoma, and synovial sarcoma, as well as metastases from lymphoma, neuroendocrine carcinoma, and carcinomas of the lung, breast, urinary bladder, ovary, vulva, and colon. Non-neoplastic lesions include hernias, round ligament varices, endometriosis, Kimura disease, Castleman disease, hematoma, and inflammation. Because the clinical implications and therapeutic strategies for groin lesions vary depending on the cause, the ability to noninvasively differentiate among etiologies is very important. Although there is substantial overlap in ultrasonographic findings across various groin lesions, some ultrasonographic features, along with clinical characteristics, may suggest a specific diagnosis. Familiarity with the ultrasonographic and clinical features of various groin lesions facilitates accurate diagnosis and treatment.
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Affiliation(s)
- Dal Mo Yang
- Department of Radiology, Kyung Hee University Hospital at Gangdong, Seoul, Korea
| | - Hyun Cheol Kim
- Department of Radiology, Kyung Hee University Hospital at Gangdong, Seoul, Korea
| | - Sang Won Kim
- Department of Radiology, Kyung Hee University Hospital at Gangdong, Seoul, Korea
| | - Kyu Yeoun Won
- Department of Pathology, Kyung Hee University Hospital at Gangdong, Seoul, Korea
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13
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Topal U, Sarıtaş AG, Ülkü A, Akçam AT, Doran F. Cyst of the canal of Nuck mimicking inguinal hernia. Int J Surg Case Rep 2018; 52:117-119. [PMID: 30342391 PMCID: PMC6197703 DOI: 10.1016/j.ijscr.2018.09.053] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2018] [Accepted: 09/27/2018] [Indexed: 01/08/2023] Open
Abstract
This is a rare diagnosis, and the differential diagnosis often includes more common causes of inguinal masses. In this document, we aimed to present the rare case of a Nuck canal cyst.
Introduction Coley, in 1892, reported 14 cases of a hydrocele in women. He described this “affection” as being “too rare an anomaly to deserve consideration. The rarity of this finding continues to be described in more current literature of 400 cases. Case presentation 42-year-old woman presented to the clinic with a palpable mass in her left inguinal region. On physical examination, a soft-consistency, mobile mass of about 4 cm in size was seen in the left inguinal region. The cystic lesion which was seen to be originated from the inguinal canal was excised in the exploration made by suspending the round ligament by passing through the anatomical folds with the incision made from the left inguinal region. The defect was repaired with prolene mesh after high ligation. Patient was discharged on the 1st postoperative day. Discussion In women, a round ligament is attached to the uterus close to the origin of the fallopian tubes, and the extension of the parietal peritoneum follows the round ligament as it passes to the inguinal canal through the internal ring. Hydroceles of the canal of Nuck were not conclusively diagnosed until surgery was performed on a suspected inguinal hernia. The treatment of Nuck canale hydroceles are surgery. Ligating the prosessus vaginalis and excision of the cyst in surgical treatment will prevent recurrences. Conclusions Nuck canal cysts should be considered in the differential diagnosis of cases of female patient's complaints of swelling in the inguinal region.
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Affiliation(s)
- Uğur Topal
- Çukurova University, Department of General Surgery, Adana, Turkey.
| | | | - Abdullah Ülkü
- Çukurova University, Department of General Surgery, Adana, Turkey
| | | | - Figen Doran
- Çukurova University, Department of Pathology, Adana, Turkey
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Gandhi J, Zaidi S, Suh Y, Joshi G, Smith NL, Ali Khan S. An index of inguinal and inguinofemoral masses in women: Critical considerations for diagnosis. TRANSLATIONAL RESEARCH IN ANATOMY 2018. [DOI: 10.1016/j.tria.2018.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Mokrani A, Guermazi F, Meddeb K, Hadj Kacem LB, Chakroun M, Yahyaoui Y, Letaief F, Gabsi A, Bouzouita A, Ayadi M, Chraiet N, Raies H, Rammeh S, Chebil M, Mezlini A. Liposarcoma of the spermatic cord: A case report and review of literature. Urol Case Rep 2018; 21:19-20. [PMID: 30140612 PMCID: PMC6105755 DOI: 10.1016/j.eucr.2018.07.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2018] [Accepted: 07/04/2018] [Indexed: 11/16/2022] Open
Affiliation(s)
- Amina Mokrani
- Department of Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Fatma Guermazi
- Department of Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Khedija Meddeb
- Department of Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Linda Bel Hadj Kacem
- Department of Pathology, Charles Nicolle Hospital, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Marouene Chakroun
- Department of Urology, Charles Nicolle Hospital, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Yosra Yahyaoui
- Department of Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Feriel Letaief
- Department of Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Azza Gabsi
- Department of Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Abderrazek Bouzouita
- Department of Urology, Charles Nicolle Hospital, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Mouna Ayadi
- Department of Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Nesrine Chraiet
- Department of Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Henda Raies
- Department of Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Soumaya Rammeh
- Department of Pathology, Charles Nicolle Hospital, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Mohamed Chebil
- Department of Urology, Charles Nicolle Hospital, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Amel Mezlini
- Department of Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
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Amato G, Romano G, Agrusa A, Rodolico V, Gordini L, Calò PG. Lipoma of the fossa femoralis mimicking a femoral hernia. Report of 2 cases. Int J Surg Case Rep 2018; 49:223-227. [PMID: 30032015 PMCID: PMC6076352 DOI: 10.1016/j.ijscr.2018.07.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2018] [Revised: 07/08/2018] [Accepted: 07/10/2018] [Indexed: 12/28/2022] Open
Abstract
INTRODUCTION Lipoma of the femoral fossa is uncommon. Often asymptomatic, femoral lipoma may growth within the circumscribed space of the femoral fossa causing pain and discomfort. A worsening pain caused by a lipomatous mass in the femoral area is a clinical feature that can mislead the diagnosis, resembling the more common condition of femoral hernia. METHODS Two cases of symptomatic lipomas of the femoral fossa mimicking an incarcerated femoral hernia are presented. In both, Caucasian female, patients clinical examination and ultrasound of the femoral region revealed a painful neoplasm suspected for incarcerated femoral hernia. RESULTS Intraoperatively, a mass of encapsulated fat arising from the bottom of the fossa femoralis was found. No visceral protrusion through the femoral ring could be documented. The neoplasms were removed in toto. Histology of the excised specimens evidenced the diagnosis of femoral lipomas suffering by chronic compressive damages. In a midterm postoperative follow up, both patients were symptom- free. DISCUSION A correct preoperative diagnosis of femoral lipoma is challenging, even following an accurate diagnostic pathway. The cases highlighted herewith seem to confirm that lipoma of the femoral fossa can be mistaken with a femoral hernia. CONCLUSIONS The clinical and histological features evidenced could result helpful in the differentiation of a lipomatous mass of the femoral fossa from a genuine femoral hernia.
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Affiliation(s)
- G Amato
- Postgraduate School of General Surgery, University of Cagliari, Monserrato, Cagliari, Italy.
| | - G Romano
- Department of General Surgery and Urgency, University of Palermo, Italy.
| | - A Agrusa
- Department of General Surgery and Urgency, University of Palermo, Italy.
| | - V Rodolico
- Department of Pathologic Anatomy and Histology, University of Palermo, Italy.
| | - L Gordini
- Department of Surgical Sciences, University of Cagliari, Monserrato, Cagliari, Italy.
| | - P G Calò
- Department of Surgical Sciences, University of Cagliari, Monserrato, Cagliari, Italy.
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Patterns of surgical causes of inguinoscrotal lesions in neonates in Sohag, Upper Egypt. ANNALS OF PEDIATRIC SURGERY 2018. [DOI: 10.1097/01.xps.0000525971.33509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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18
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Balducci M, Di Rito A, Mantini G, Manfrida S, Chiesa S, Frascino V, D'Agostino GR, Valentini V, De Bari B. Role of Radiotherapy in the Treatment of Fibrosarcoma of the Spermatic Cord: A Case Report and Review of the Literature. TUMORI JOURNAL 2018; 97:36e-8e. [DOI: 10.1177/030089161109700624] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Background Spermatic cord sarcomas are rare. The therapeutic approach is based only on case reports and small series. The standard treatment is radical orchiectomy with wide local resection, while the role of adjuvant therapies is not clear. We present a case of fibrosarcoma of the spermatic cord treated with surgery and adjuvant radiotherapy. A review of the literature about the role of adjuvant treatments is also discussed. Case Report A 59-year-old man presented a right testicular mass of about 4 × 3 cm in size. Biopsy showed a high-grade polymorphous sarcoma, consistent with a diagnosis of poorly differentiated fibromyosarcoma. He underwent a right radical inguinal orchiectomy and adjuvant radiotherapy (total dose: 5940 cGy). During treatment the patient developed a G3 skin toxicity (RTOG score) in the inguinal fold. After a follow-up of 57 months, he is alive and without evidence of local or distant recurrence. No late toxicity was noted. Conclusion The optimal adjuvant management of spermatic cord sarcoma is still uncertain. Looking at the literature, it seems that adjuvant radiotherapy can improve locoregional control and disease-free survival without additional late toxicity.
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Affiliation(s)
- Mario Balducci
- Radiation Oncology Service, Bioimages and Radiological Science Department, Catholic University, Rome, Italy
| | - Alessia Di Rito
- Service de Radiothérapie, Centre Medical de Forcilles, Ferolles-Attilly, France
| | - Giovanna Mantini
- Radiation Oncology Service, Bioimages and Radiological Science Department, Catholic University, Rome, Italy
| | - Stefania Manfrida
- Radiation Oncology Service, Bioimages and Radiological Science Department, Catholic University, Rome, Italy
| | - Silvia Chiesa
- Radiation Oncology Service, Bioimages and Radiological Science Department, Catholic University, Rome, Italy
| | - Vincenzo Frascino
- Radiation Oncology Service, Bioimages and Radiological Science Department, Catholic University, Rome, Italy
| | | | - Vincenzo Valentini
- Radiation Oncology Service, Bioimages and Radiological Science Department, Catholic University, Rome, Italy
| | - Berardino De Bari
- Service de Radiothérapie-Oncologie, Centre Hospitalier Lyon-Sud, Pierre Benite, France
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Singh S, Singh J, Joshi BM, Sandhu MS, Kumar A. Epidermoid Cyst in Inguinal Canal: A Rare Presentation. Niger J Surg 2017; 23:138-140. [PMID: 29089741 PMCID: PMC5649431 DOI: 10.4103/njs.njs_47_16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
The patients presenting with lump in inguinal area are mostly suspected as hernias. Epidermoid cyst commonly presenting in head and neck region rarely may develop from inguinal canal structures. We present here a rare case of epidermoid cyst measuring 7×8 cm as a content of inguinal canal diagnosed by ultrasonography. Surgical excision was done and confirmed as epidermoid cyst by histopathology. We conclude that cutaneous cysts in inguinal area may be a presentation and should be kept in mind for differential diagnosis.
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Affiliation(s)
- Sumitoj Singh
- Department of General Surgery, Government Medical College, Amritsar, Punjab, India
| | - Jaspreet Singh
- Department of Pathology, Government Medical College, Amritsar, Punjab, India
| | - Brij Mohan Joshi
- Department of General Surgery, Government Medical College, Amritsar, Punjab, India
| | - Mandeep Singh Sandhu
- Department of General Surgery, Government Medical College, Amritsar, Punjab, India
| | - Ashok Kumar
- Department of General Surgery, Government Medical College, Amritsar, Punjab, India
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20
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Hip Ganglion Cyst Causing Femoral Nerve Dysesthesia. Am J Phys Med Rehabil 2017; 96:e227. [PMID: 28323760 DOI: 10.1097/phm.0000000000000737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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21
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Park HR, Park SB, Lee ES, Park HJ. Sonographic evaluation of inguinal lesions. Clin Imaging 2016; 40:949-55. [PMID: 27209238 DOI: 10.1016/j.clinimag.2016.04.017] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2015] [Revised: 04/24/2016] [Accepted: 04/29/2016] [Indexed: 10/21/2022]
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22
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Choi KH, Baek HJ. Incarcerated ovarian herniation of the canal of Nuck in a female infant: Ultrasonographic findings and review of literature. Ann Med Surg (Lond) 2016; 9:38-40. [PMID: 27408712 PMCID: PMC4925906 DOI: 10.1016/j.amsu.2016.06.003] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2016] [Revised: 06/14/2016] [Accepted: 06/14/2016] [Indexed: 11/28/2022] Open
Abstract
Introduction Inguinal hernia with containing the ovary presenting as a palpable groin mass is an uncommon congenital condition, and it may cause complications such as strangulation, torsion, and infertility. We present a case of ovarian herniation into inguinal canal with sonographic findings. Presentation of case A 15-day-old infant girl visited our hospital with the complaints of palpable mass in the right groin. On physical examination, a palpable non-movable mass was found in the right inguinal region, and it was irreducible. During sonographic examination, a well-circumscribed solid mass containing small cysts was found. Then, oophorectomy with high inguinal ligation was performed, and the patient was doing well after surgery. Discussion The canal of Nuck is an abnormal patent pouch of the parietal peritoneum extending to the round ligament of the uterus into the labia majora through the inguinal ring. When this canal obliterates incompletely, inguinal herniation of ovary or hydrocele occur in the female children. In the clinical practice, ovarian herniation should be differentiated from a hernia containing intestine, fat, fluid, or lymph nodes. Therefore, a careful sonographic evaluation is mandatory to make an accurate diagnosis in female infants with palpable inguinal mass. Conclusion Ultrasound (US) with color Doppler US can be helpful to the diagnosis of ovarian herniation through the canal of Nuck and hernia-related complications. The canal of Nuck is an abnormal patent pouch of the parietal peritoneum extending to the round ligament of the uterus into the labia majora through the inguinal ring into the inguinal canal. Incomplete obliteration of canal of Nuck can result in either an inguinal hernia or a hydrocoele in female children. Awareness of ovarian herniation through the canal of Nuck and its embryologic mechanisms can be helpful for the identification of this disease and the prevention of its unexpected complication in clinical practice.
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Affiliation(s)
- Kwang Ho Choi
- Research Institute for Convergence of Biomedical Science and Technology, Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, 20 Geumo-ro, Mulgeum-eup, Yangsan 50612, Republic of Korea
| | - Hye Jin Baek
- Department of Radiology, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, 11 Samjeongja-ro, Seongsan-gu, Changwon 51472, Republic of Korea
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23
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Inguinoscrotal and inguinolabial swelling in infancy: Role of ultrasound. AFRICAN JOURNAL OF UROLOGY 2015. [DOI: 10.1016/j.afju.2015.07.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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24
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Yang DM, Kim HC, Kim SW, Lim SJ, Park SJ, Lim JW. Ultrasonographic diagnosis of ovary-containing hernias of the canal of Nuck. Ultrasonography 2014; 33:178-83. [PMID: 25038807 PMCID: PMC4104956 DOI: 10.14366/usg.14010] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2014] [Accepted: 03/03/2014] [Indexed: 11/30/2022] Open
Abstract
Purpose: The purpose of this study is to describe the ultrasonographic findings of ovary-containing hernias of the canal of Nuck. Methods: This was a retrospective analysis of 22 hernia cases of the canal of Nuck. The following gray scale and color Doppler ultrasonographic features were analyzed: the site and the size of the hernia, the texture of the hernia contents, and the presence or absence of blood flow in the hernia contents. Results: All of the patients had swelling of the right inguinal region (n=10), left inguinal region (n=8), or both (n=2). On ultrasonography, the hernias appeared as either solid masses (n=17) or solid masses containing cysts (n=5). The mean anteroposterior diameter of the hernia sac of the canal of Nuck was 9.1 mm (range, 5 to 18 mm). The mean anteroposterior diameters of the hernia sac were 11.6 mm (range, 7.6 to 18 mm) for hernias containing an ovary, and 8.3 mm (range, 5 to 13 mm) for hernias containing omental fat. During surgery, among the 17 cases with solid-appearing hernia contents on ultrasonography, omental fat was identified in the hernia sac in four cases, but no structure was identified in 13 cases. All five cases that appeared as solid masses containing cysts on ultrasonography contained ovary tissue in the hernia sac. Among the four cases of ovary-containing hernias, color Doppler ultrasonography identified blood flow within the ovary in three cases, but no flow signal was seen in one case of incarcerated hernia. Conclusion: Ultrasonography may be helpful for the diagnosis of ovary-containing hernias of the canal of Nuck by detecting solid masses containing small cysts.
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Affiliation(s)
- Dal Mo Yang
- Departments of Radiology Kyung Hee University Hospital at Gangdong, Seoul, Korea
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25
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Abete L, Simonato A, Toncini C, Carmignani G, Derchi LE. Myxoid liposarcoma of the spermatic cord: US and MR imaging findings. JOURNAL OF CLINICAL ULTRASOUND : JCU 2014; 42:96-99. [PMID: 23861011 DOI: 10.1002/jcu.22068] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/17/2013] [Revised: 03/29/2013] [Accepted: 05/03/2013] [Indexed: 06/02/2023]
Abstract
We report a patient with myxoid liposarcoma of the spermatic cord in whom combined use of both ultrasound (US) and MRI helped to suggest the diagnosis. The lesion was solid at US and vascularized at color Doppler. T1-weighted MRI did not show fat within it; on T2-weighted images it had high signal intensity, with a cyst-like appearance. It is known that fat-poor myxoid liposarcomas with high water content may mimic a cystic lesion on non-contrast-enhanced MR; then, a combination of MRI findings, suggesting a cyst, and of US findings, showing the mass was actually solid and vascularized, allowed preoperatively the diagnosis of fat-poor myxoid liposarcoma.
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Affiliation(s)
- Luca Abete
- Dipartimento Scienze Chirurgiche, Settore Anatomia Patologica, Università di Genova, Genova, Italy
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26
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Cummings J, Edwards H. Local Investigation of outcomes Based on Ultrasound Examinations for Suspected Inguinal Hernia Performed by Sonographers and Radiologists. ULTRASOUND : JOURNAL OF THE BRITISH MEDICAL ULTRASOUND SOCIETY 2013. [DOI: 10.1258/ult.2012.012035] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Inguinal hernia is the most common surgical repair performed in England with more than 73,000 cases in 2007. The majority of inguinal hernias are diagnosed clinically, but ultrasound is fast becoming the imaging modality of choice for diagnosing occult hernia, due to its non-invasive nature and lack of radiation. At the Norfolk and Norwich University Hospitals NHS Foundation Trust, ultrasound of the groin was performed only by radiologists, but recently sonographers have also begun examining patients for inguinal hernia. This study investigates the accuracy of ultrasound diagnosis of hernia and compares the performances of radiologists and sonographers over a nine-month period involving 124 patients. Our results indicate that both professional groups have a high detection rate and that there is no significant difference in accuracy. An incidental finding was that many general practitioner referrals diagnosed with an inguinal hernia did not proceed to surgery. Since many ultrasound departments are experiencing demand versus capacity issues, it may be that further investigation into the value of diagnosis when surgery is unlikely is warranted.
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Affiliation(s)
- Janet Cummings
- Department of Radiology, Norfolk & Norwich University Hospital NHS Trust, Norwich, Norfolk NR4 7UY, UK
| | - Hazel Edwards
- Department of Radiology, Lister Hospital, Corey's Mill Lane, Stevenage SG1 4AB, UK
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27
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Ultrasound evaluation of superficial lumps and bumps of the extremities in children: a 5-year retrospective review. Pediatr Radiol 2013; 43 Suppl 1:S23-40. [PMID: 23478917 DOI: 10.1007/s00247-012-2590-0] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2012] [Revised: 11/14/2012] [Accepted: 11/15/2012] [Indexed: 12/12/2022]
Abstract
Ultrasonography is commonly requested for evaluation of palpable soft-tissue masses of the extremities in children. Although malignancy is quite rare in these children, it remains a primary diagnostic concern. As a result, knowledge of the common and uncommon soft-tissue lesions as well as sonographic techniques for optimized evaluation are crucial for accurate assessment. This review describe the sonographic imaging appearance of the most commonly encountered superficial soft-tissue lesions at a tertiary academic pediatric hospital. Features of malignancy and findings warranting further evaluation such as lesion size, heterogeneity, vascularity and depth of involvement are also discussed.
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28
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Lee RKL, Cho CCM, Tong CSL, Ng AWH, Liu EKW, Griffith JF. Ultrasound of the abdominal wall and groin. Can Assoc Radiol J 2012; 64:295-305. [PMID: 23103240 DOI: 10.1016/j.carj.2012.07.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2011] [Revised: 06/27/2012] [Accepted: 07/06/2012] [Indexed: 10/27/2022] Open
Affiliation(s)
- Ryan K L Lee
- Department of Imaging and Interventional Radiology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR, People's Republic of China.
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29
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30
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Goel R, Agarwal A, Lomanto D. Large Lymphangioma Presenting like Irreducible Inguinal Hernia: A Rare Presentation and Literature Review. ANNALS OF THE ACADEMY OF MEDICINE, SINGAPORE 2011. [DOI: 10.47102/annals-acadmedsg.v40n11p518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
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31
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Hsu YF, Chou YY, Cheng YH. Spermatic cord myxoid liposarcoma presenting as an incarcerated inguinal hernia: report of a case and review of literatures. Hernia 2011; 16:719-22. [PMID: 21387152 DOI: 10.1007/s10029-011-0803-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2010] [Accepted: 02/11/2011] [Indexed: 11/29/2022]
Abstract
Incarcerated inguinal hernia is a common surgical indication in the emergency room. Delayed diagnosis can result in ischemic bowel or bowel perforation. The reported incarcerated contents include bowel loop, mesentery, omentum and, rarely, malignant lesions, such as lymphoma, metastatic tumors etc. We report a new case of primary spermatic cord liposarcoma presenting as emergent incarcerated inguinal hernia and review the related literature.
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Affiliation(s)
- Y-F Hsu
- Department of General Surgery, Shin Kong Wu Ho-Su Memorial Hospital, No. 95, Wen Chang Road, Shin Lin District, Taipei, 111, Taiwan
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33
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Yao L, Mou Y, Wang HX. Sonographic diagnosis of an ovary-containing inguinal hernia with the formation of a corpus luteum in an adult female. ULTRASOUND IN OBSTETRICS & GYNECOLOGY : THE OFFICIAL JOURNAL OF THE INTERNATIONAL SOCIETY OF ULTRASOUND IN OBSTETRICS AND GYNECOLOGY 2009; 34:359-360. [PMID: 19705401 DOI: 10.1002/uog.7331] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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34
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Salemis NS, Karagkiouzis G, Sambaziotis D, Tsiambas E. Large dermoid cyst of the spermatic cord presenting as an incarcerated hernia: a rare presentation and literature review. Hernia 2009; 14:321-3. [DOI: 10.1007/s10029-009-0542-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2009] [Accepted: 07/12/2009] [Indexed: 11/24/2022]
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35
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Bozgeyik Z, Kocakoc E, Koc M, Ferda Dagli A. Giant fibroepithelial stromal polyp of the vulva: extended field-of-view ultrasound and computed tomographic findings. ULTRASOUND IN OBSTETRICS & GYNECOLOGY : THE OFFICIAL JOURNAL OF THE INTERNATIONAL SOCIETY OF ULTRASOUND IN OBSTETRICS AND GYNECOLOGY 2007; 30:791-2. [PMID: 17787024 DOI: 10.1002/uog.5143] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
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