PMC4245671_01
(a) Sagittal T2-weighted MR image showed that a fluid-intensity tumor led to the inguinal canal. (b) Enhanced T2-weighted MRI revealed no solid component within the cystic tumor in contact with the ovary.
gr1.jpg
PMC4245671_01_gr1.jpg
fig0005
MRI showed a simple cystic lesion measuring 45 mm in its largest axis, which appeared to be in contact with the left ovary connected at its base with the parietal peritoneum (Fig. 1a and b).
Laparoscopic findings showed an extraperitoneal cystic tumor (arrow) with no connection to the left ovary (arrowhead).
gr2.jpg
PMC4245671_01_gr2.jpg
fig0010
Laparoscopic findings with the support of forceps from an accessory trocar into the right upper region showed an extraperitoneal cystic mass with no connection to the left ovary (Fig. 2).
(a) Encysted tumor (arrow) was carefully dissected from the retroperitoneal space. (b) The aspirated hydrocele was ligated and resected with the round ligament completely.
gr3.jpg
PMC4245671_01_gr3.jpg
fig0015
The shrunken mass was dissected carefully and resected completely with the round ligament (Fig. 3a and b).
Inguinal repair was confirmed laparoscopically on pneumoperitoneum.
gr4.jpg
PMC4245671_01_gr4.jpg
fig0020
Finally, inguinal repair was confirmed laparoscopically on pneumoperitoeum by insufflation of CO2 through an accessory intraabdominal trocar (Fig. 4).