Table 1 Details of nine patients with misdiagnosed abdominal scrotal lymphangiomas from January 2019 to December 2020
From: Misdiagnosis of scrotal and retroperitoneal lymphangioma in children
Diagnosis | Age | Clinical manifestations | Mass size(cm) | transillumination experiment | Preoperative ultrasound | Treatment | Postoperative pathological tests | |
|---|---|---|---|---|---|---|---|---|
1 | Hydrocele on the right,dysplasia of the left testis | 12 M | Painless mass on the right scrotum | 4 × 3 × 4 | positive | Cystic lesions from right lower abdomen to inguinal area | Laparoscopic mass resection | Benign cystic disease, lymphangioma |
2 | Hydrocele on the left | 1Y | Reversible mass in the inguinal area | 4 × 3 × 2 | positive | Cystic structure of left inguinal and left lower abdominal area | Laparoscopically assisted mass removal through external inguinal incision | Benign cystic disease, lymphangioma |
3 | Hydrocele on the right | 3y | Painless mass in the right inguinal area | 4 × 3 × 2 | positive | Cystic structure of right inguinal | Resection of inguinal lymphangioma under direct vision | Benign cystic disease, lymphangioma |
4 | Hydrocele on the left | 3y | Painless mass in the left inguinal area | 4*3*2 | positive | Cystic structure of left inguinal | Laparoscopic mass resection | Benign cystic disease, lymphangioma |
5 | Hydrocele on the right | 4y | Painless mass in the left inguinal area | 3 × 1 × 2 | positive | Cystic lesions from left lower abdomen to inguinal area | Laparoscopy + bleomycin intratumoral injection treatment | Benign cystic disease, lymphangioma |
6 | Hydrocele on the left | 5y | Reversible mass in the inguinal area | 5 × 3 × 2 | positive | Left communicating spermatic cord hydrocele | Resection of inguinal lymphangioma under direct vision | Benign cystic disease, lymphangioma |
7 | Hydrocele on the left | 10Y | Painless mass in the left inguinal area | 3 × 2 × 2 | positive | Left communicating spermatic cord hydrocele | Laparoscopic exploration + bleomycin intrasaccular injection therapy | Benign cystic disease, lymphangioma |
8 | Left incarcerated inguinal hernia (Fig. 1) | 17 M | Irreversible mass in the left inguinal area with pain and vomiting | 4 × 5 × 4 | Not performed | Left spermatic cord hydrocele | Laparoscopy + bleomycin intratumoral injection treatment | None |
9 | Hematoma in the left inguinal area | 6Y | Mass in the left inguinal area with pain | 3 × 4 × 4 | positive | Mixed intensity mass in the left inguinal, inflammatory hematoma? | Resection of inguinal lymphangioma under direct vision | Lymphangioma |