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Year : 2018  |  Volume : 2  |  Issue : 3  |  Page : 62-64

Leiomyoma of round ligament masquerading as an inguinal hernia

1 Department of Gynaecological Oncology, Acharya Harihara Regional Cancer Centre, Cuttack, Odisha, India
2 Department of Obstetrics and Gynaecology, S.C.B. Medical College, Cuttack, Odisha, India
3 Department of Obstetrics and Gynaecology, Ladies Clinic and Nursing Home, Cuttack, Odisha, India

Correspondence Address:
Dr. Bhagyalaxmi Nayak
Department of Gynaecological Oncology, Acharya Harihara Regional Cancer Centre, Cuttack-753007, Odisha
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/oji.oji_23_18

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Tumors of the round ligament of uterus are uncommon, with leiomyoma being the most common type among them with unknown exact incidence. Leiomyoma is a benign tumor and its location at inguinal area is confused with the clinical diagnosis of inguinal hernia, lymph node, or other nodal masses. Here, we report the case of a 47-year-old parous woman who presented with complaints of heavy menstrual bleeding and right groin swelling. A preoperative diagnosis of adenomyosis of uterus with inguinal hernia was made. She underwent nondescent vaginal hysterectomy, following which, on exploration of the inguinal region, a myoma was found and was confirmed as leiomyoma on histopathology. Hence, although rare, it is prudent to consider a round ligament leiomyoma as one of the differential diagnoses of the more common inguinal hernia, especially in a female patient.

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