PMC10331071_01
Lateral view of the right inguinal swelling measuring 3 x 4 cm.
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He was admitted to the urology department for management of a right inguinal swelling that had been present for 5 months, as shown in Figure 1. The clinical examination revealed a conscious patient, hemodynamically and respiratory stable, non-febrile, with a right inguinal swelling of about 3 x 4 cm (Figure 1).
An image of probable inguinal cystic lymphangioma. This formation measuring 42 x 41 x
28 mm.
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The inguinal Doppler ultrasound revealed the presence of a cystic formation in the right inguinal fold, as shown in Figure 2, suggesting a cystic lymphangioma measuring 42 x 28 mm.
Cystic formation of a 5 x 4 x 2.5 cm.
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During exploration via the inguinal route, a lymphangioma was observed (as seen in Figure 3):a transilluminable cystic mass with a thin wall and liquid content, smooth surface, and slightly vascularized wall:in close contact with the spermatic cord.
Microscopic exam of the cystic formation. (a) Large irregular vascular spaces with
fibroblastic stroma (H&E Gx50). (b) Vascular spaces lined by flattened bland
epithelial cells. Note aggregate of lymphocytes (H&E Gx50).. H&E: hematoxylin and eosin.
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These spaces were lined by flattened, bland endothelial cells (as shown in Figure 4). The stroma supporting the cystic spaces was fibroblastic, with lymphocyte aggregates and small, variable-sized congestive vessels (as depicted in Figure 4).