Abstract
BackgroundAngioleiomyoma 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 caseA 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.ConclusionThis 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.
Highlights
ConclusionThis is the first report of a case of angioleiomyoma of the inguinal canal, which presents as a painful mass
Angioleiomyoma is an uncommon benign soft tissue tumor and originates from the vascular smooth muscle
This is the first report of a case of angioleiomyoma of the inguinal canal, which presents as a painful mass
Summary
Angioleiomyoma, which presents as a painful mass in approximately 60% of the cases, is rare in inguinal canal. MRI should be considered when presenting history and physical examination is not compatible with inguinal hernia or if pain is intractable and not response to conservative treatment. Analysis and interpretation of data: JL, RW, XY, XS, JG, JKMF. Critical revision: JL, RW, XY, XS, JG, JKMF. All authors read and approved the final manuscript. Author details 1 Department of Surgery, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China. Department of Diagnostic Radiology, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China. Department of Pathology, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China. Department of Surgery, The University of Hong Kong, Li Ka Shing Faculty of Medicine, Hong Kong, SAR, China
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