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Korean J Radiol.  2013 Apr;14(2):218-221. 10.3348/kjr.2013.14.2.218.

Imaging Findings of Angiomyxolipoma of the Spermatic Cord Mimicking Inguinal Hernia

Affiliations
  • 1Department of Radiology, Hallym University College of Medicine, Kangnam Sacred Heart Hospital, Seoul 150-950, Korea. baccas@hallym.or.kr
  • 2Department of General Surgery, Hallym University College of Medicine, Kangnam Sacred Heart Hospital, Seoul 150-950, Korea.
  • 3Department of Pathology, Hallym University College of Medicine, Kangnam Sacred Heart Hospital, Seoul 150-950, Korea.

Abstract

We report the case in a 72-year-old man who presented with a right inguinal mass and with a one month history that was initially interpreted as an inguinal hernia. Ultrasonography (US) and computed tomography (CT) demonstrated a right inguinal mass, including myxoid and fat component, extending from the right spermatic cord to the right inguinal subcutaneous layer. Mass excision was performed, and the diagnosis turned out to be angiomyxolipoma. Angiomyxolipoma is a rare tumor and the preoperative diagnosis of this disease is very difficult. However, angiomyxolipoma of the spermatic cord should be considered in the differential diagnosis in patients with an irreducible inguinal mass. Imaging diagnosis, such as US and CT may help to make a preoperative diagnosis.

Keyword

Angiomyxolipoma; Spermatic cord; Inguinal hernia; CT; US

MeSH Terms

Aged
Angiolipoma/pathology/*radiography/*ultrasonography
Hernia, Inguinal/ultrasonography
Humans
Male
Myxoma/pathology/*radiography/*ultrasonography
Spermatic Cord/*pathology/radiography/ultrasonography
*Tomography, X-Ray Computed
*Ultrasonography, Doppler
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