{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T12:35:22Z","timestamp":1769344522778,"version":"3.49.0"},"reference-count":19,"publisher":"International College of Surgeons","issue":"3-4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:p>The aim of this study was to evaluate the characteristic features of patients with mesothelial cyst of the round ligament of the uterus and the incidence of this entity. This was a retrospective review of 3065 patients who underwent inguinal exploration for groin mass from 1998 to 2013. Clinical, radiologic, and histopathologic features of patients with a diagnosis of mesothelial cyst of the round ligament were analyzed. Of the 405 female patients reviewed, 9 mesothelial cysts of the round ligament were identified (2.2%). The median age was 37 (range, 19\u201382 years). In all patients the groin mass was manually irreducible on physical examination. The lesions were on the right side in 6 (66.6%) patients. These were identified before surgery in 4 (all by groin ultrasonography). Three were misidentified as a hernia before surgery. The remaining 2 (22%) had both hernia and the mesothelial cyst of the round ligament. The cysts were identified after surgery at the time of histopathologic examination in these 2 patients. In all patients histopathologic examination revealed multilobular cystic lesion lined by a single layer of mesothelial cells. Cystic lesions arising from the round ligament were identified and excised along with the round ligament in 7 patients. In the remaining 2, a hernia repair was also performed. There was no recurrence at follow-up. Mesothelial cysts of the round ligament are rare. They are easily misidentified as groin hernia. An accurate diagnosis requires a high index of suspicion and is greatly aided by preoperative imaging studies.<\/jats:p>","DOI":"10.9738\/intsurg-d-15-00159.1","type":"journal-article","created":{"date-parts":[[2016,4,4]],"date-time":"2016-04-04T15:40:34Z","timestamp":1459784434000},"page":"171-175","source":"Crossref","is-referenced-by-count":6,"title":["Mesothelial Cysts of the Round Ligament of the Uterus in 9 patients: A 15-year Experience"],"prefix":"10.9738","volume":"101","author":[{"given":"Mehmet Bulent","family":"Tirnaksiz","sequence":"first","affiliation":[{"name":"Department of General Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arman","family":"Erkan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmet Bulent","family":"Dogrul","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osman","family":"Abbasoglu","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4721","reference":[{"issue":"4","key":"i0020-8868-101-3-171-b01","series-title":"Am J Surg","first-page":"515","article-title":"Mesothelial cysts of the round ligament simulating inguinal hernia. Report of four cases and a review of the literature","volume":"151","author":"Harper \n              GB\n              Jr,","year":"1986","unstructured":"Harper \n              GB\n              Jr, \n            \n            \n              Awbrey \n              BJ, \n            \n            \n              Thomas \n              CG\n              Jr, \n            \n            \n              Askin \n              FB. \n            \n          \n          Mesothelial cysts of the round ligament simulating inguinal hernia. Report of four cases and a review of the literature. Am J Surg1986;151(4):515\u2013517"},{"issue":"1","key":"i0020-8868-101-3-171-b02","series-title":"Zentralbl Chir","first-page":"31","article-title":"[Diagnostic error: incarcerated hernia]","volume":"111","author":"Putzki \n              H,","year":"1986","unstructured":"Putzki \n              H, \n            \n            \n              Student \n              A, \n            \n            \n              Mlasowski \n              B, \n            \n            \n              Heymann \n              H. \n            \n          \n          [Diagnostic error: incarcerated hernia]. Zentralbl Chir1986;111(1):31\u201335"},{"issue":"6","key":"i0020-8868-101-3-171-b03","series-title":"AJR Am J Roentgenol","first-page":"1345","article-title":"Mesothelial cyst of the round ligament","volume":"155","author":"Berna \n              JD,","year":"1990","unstructured":"Berna \n              JD, \n            \n            \n              Garcia-Medina \n              V, \n            \n            \n              Guirao \n              J, \n            \n            \n              Madrigal \n              M. \n            \n          \n          Mesothelial cyst of the round ligament. AJR Am J Roentgenol1990;155(6):1345\u20131346"},{"issue":"4","key":"i0020-8868-101-3-171-b04","series-title":"Fertil Steril","first-page":"944","article-title":"A mesothelial cyst of the round ligament presenting as an inguinal hernia after gonadotropin stimulation for in vitro fertilization","volume":"82","author":"Ryley \n              DA,","year":"2004","unstructured":"Ryley \n              DA, \n            \n            \n              Moorman \n              DW, \n            \n            \n              Hecht \n              JL, \n            \n            \n              Alper \n              MM. \n            \n          \n          A mesothelial cyst of the round ligament presenting as an inguinal hernia after gonadotropin stimulation for in vitro fertilization. Fertil Steril2004;82(4):944\u2013946"},{"issue":"2","key":"i0020-8868-101-3-171-b05","series-title":"Pol J Pathol","first-page":"81","article-title":"Mesothelial inclusion cysts (so-called benign cystic mesothelioma)\u2013a clinicopathological analysis of six cases","volume":"56","author":"Urbanczyk \n              K,","year":"2005","unstructured":"Urbanczyk \n              K, \n            \n            \n              Skotniczny \n              K, \n            \n            \n              Kucinski \n              J, \n            \n            \n              Friediger \n              J. \n            \n          \n          Mesothelial inclusion cysts (so-called benign cystic mesothelioma)\u2013a clinicopathological analysis of six cases. Pol J Pathol2005;56(2):81\u201387"},{"issue":"6","key":"i0020-8868-101-3-171-b06","series-title":"Cir Cir","first-page":"477","article-title":"[Round ligament cyst, a rare condition simulating inguinal hernia. Case report]","volume":"75","author":"S\u00e1nchez-Medina \n              R,","year":"2007","unstructured":"S\u00e1nchez-Medina \n              R, \n            \n            \n              Legorreta-Chew \n              CI, \n            \n            \n              Santill\u00e1n-Ruvalcaba \n              JH, \n            \n            \n              Ortega-Ambriz \n              B, \n            \n            \n              Delgado-Pastor \n              VS, \n            \n            \n              Torres-Trejo \n              A. \n            \n          \n          [Round ligament cyst, a rare condition simulating inguinal hernia. Case report]. Cir Cir2007;75(6):477\u2013479"},{"issue":"4","key":"i0020-8868-101-3-171-b07","series-title":"J Clin Ultrasound","first-page":"226","article-title":"Sonographic diagnosis of a round ligament cyst in the inguinal area","volume":"35","author":"Oh \n              SN,","year":"2007","unstructured":"Oh \n              SN, \n            \n            \n              Jung \n              SE, \n            \n            \n              Lee \n              JM, \n            \n            \n              Chung \n              JH, \n            \n            \n              Park \n              GS. \n            \n          \n          Sonographic diagnosis of a round ligament cyst in the inguinal area. J Clin Ultrasound2007;35(4):226\u2013228"},{"issue":"3","key":"i0020-8868-101-3-171-b08","series-title":"Korean J Radiol","first-page":"364","article-title":"Mesothelial cyst of the round ligament mimicking a metastasis: a case report","volume":"11","author":"Kim \n              BM,","year":"2010","unstructured":"Kim \n              BM, \n            \n            \n              Lee \n              JY, \n            \n            \n              Han \n              YH, \n            \n            \n              Kim \n              SY, \n            \n            \n              Seo \n              JW, \n            \n            \n              Kim \n              YH\n            \n            et al. \n          Mesothelial cyst of the round ligament mimicking a metastasis: a case report. Korean J Radiol2010;11(3):364\u2013367"},{"issue":"Suppl 1","key":"i0020-8868-101-3-171-b09","series-title":"Virchows Arch","first-page":"S237","article-title":"Mesothelial cyst of the round ligament: case report and short review of the current literature","volume":"459","author":"Katafygiotis \n              P,","year":"2011","unstructured":"Katafygiotis \n              P, \n            \n            \n              Nomikos \n              A, \n            \n            \n              Patsaouras \n              P, \n            \n            \n              Dilalakis \n              M, \n            \n            \n              Chranioti \n              S. \n            \n          \n          Mesothelial cyst of the round ligament: case report and short review of the current literature. Virchows Arch2011;459(Suppl 1):S237\u2013S238"},{"issue":"4","key":"i0020-8868-101-3-171-b10","series-title":"J Nippon Med Sch","first-page":"296","article-title":"Cysts of the round ligament simulating inguinal hernia: report of a case","volume":"80","author":"Saylam \n              B,","year":"2013","unstructured":"Saylam \n              B, \n            \n            \n              Gulseren \n              MO, \n            \n            \n              Han \n              O, \n            \n            \n              Comcali \n              B, \n            \n            \n              Vural \n              V, \n            \n            \n              Coskun \n              F. \n            \n          \n          Cysts of the round ligament simulating inguinal hernia: report of a case. J Nippon Med Sch2013;80(4):296\u2013299"},{"key":"i0020-8868-101-3-171-b11","series-title":"Case Rep Surg","first-page":"408078","article-title":"Mesothelial cyst of the round ligament misdiagnosed as irreducible inguinal hernia","volume":"2013","author":"Manatakis \n              DK,","year":"2013","unstructured":"Manatakis \n              DK, \n            \n            \n              Stamos \n              N, \n            \n            \n              Agalianos \n              C, \n            \n            \n              Vamvakas \n              P, \n            \n            \n              Kordelas \n              A, \n            \n            \n              Davides \n              D. \n            \n          \n          Mesothelial cyst of the round ligament misdiagnosed as irreducible inguinal hernia. Case Rep Surg2013;2013:408078"},{"issue":"2","key":"i0020-8868-101-3-171-b12","series-title":"Ann Surg","first-page":"216","article-title":"Multilocular serous cysts of the round ligament simulating incarcerated herniae: report of three cases","volume":"117","author":"Kershner \n              D,","year":"1943","unstructured":"Kershner \n              D, \n            \n            \n              Shapiro \n              AL. \n            \n          \n          Multilocular serous cysts of the round ligament simulating incarcerated herniae: report of three cases. Ann Surg1943;117(2):216\u2013220"},{"issue":"3","key":"i0020-8868-101-3-171-b13","series-title":"Am J Surg","first-page":"320","article-title":"Primary cyst of the round ligament","volume":"73","author":"Castallo \n              MA,","year":"1947","unstructured":"Castallo \n              MA, \n            \n            \n              Giletto \n              BJ. \n            \n          \n          Primary cyst of the round ligament. Am J Surg1947;73(3):320\u2013325"},{"issue":"12","key":"i0020-8868-101-3-171-b14","series-title":"J Ultrasound Med","first-page":"1735","article-title":"Sonography of various cystic masses of the female groin","volume":"26","author":"Oh \n              SN,","year":"2007","unstructured":"Oh \n              SN, \n            \n            \n              Jung \n              SE, \n            \n            \n              Rha \n              SE, \n            \n            \n              Lim \n              GY, \n            \n            \n              Ku \n              YM, \n            \n            \n              Byun \n              JY\n            \n            et al. \n          Sonography of various cystic masses of the female groin. J Ultrasound Med2007;26(12):1735\u20131742"},{"issue":"4","key":"i0020-8868-101-3-171-b15","series-title":"Ann Surg","first-page":"625","article-title":"Hydrocele of the canal of Nuck: Report of seventeen cases","volume":"113","author":"Counseller \n              VS,","year":"1941","unstructured":"Counseller \n              VS, \n            \n            \n              Black \n              BM. \n            \n          \n          Hydrocele of the canal of Nuck: Report of seventeen cases. Ann Surg1941;113(4):625\u2013630"},{"issue":"3","key":"i0020-8868-101-3-171-b16","series-title":"J Ultrasound Med","first-page":"429","article-title":"Female hydrocele (cyst of the canal of Nuck): sonographic appearance of a rare and little-known disorder","volume":"23","author":"Stickel \n              WH,","year":"2004","unstructured":"Stickel \n              WH, \n            \n            \n              Manner \n              M. \n            \n          \n          Female hydrocele (cyst of the canal of Nuck): sonographic appearance of a rare and little-known disorder. J Ultrasound Med2004;23(3):429\u2013432"},{"issue":"11","key":"i0020-8868-101-3-171-b17","series-title":"Am Surg","first-page":"959","article-title":"Hydrocele of the canal of Nuck: ultrasound appearance","volume":"61","author":"Anderson \n              CC,","year":"1995","unstructured":"Anderson \n              CC, \n            \n            \n              Broadie \n              TA, \n            \n            \n              Mackey \n              JE, \n            \n            \n              Kopecky \n              KK. \n            \n          \n          Hydrocele of the canal of Nuck: ultrasound appearance. Am Surg1995;61(11):959\u2013961"},{"issue":"1","key":"i0020-8868-101-3-171-b18","series-title":"Hernia","first-page":"33","article-title":"Inguinal cord cysts","volume":"6","author":"Welch \n              B,","year":"2002","unstructured":"Welch \n              B, \n            \n            \n              Barton \n              TK. \n            \n          \n          Inguinal cord cysts. Hernia2002;6(1):33\u201335"},{"issue":"9395","key":"i0020-8868-101-3-171-b19","series-title":"Lancet","first-page":"1561","article-title":"Hernias: inguinal and incisional","volume":"362","author":"Kingsnorth \n              A,","year":"2003","unstructured":"Kingsnorth \n              A, \n            \n            \n              LeBlanc \n              K. \n            \n          \n          Hernias: inguinal and incisional. Lancet2003;362(9395):1561\u20131571"}],"container-title":["International Surgery"],"original-title":[],"link":[{"URL":"https:\/\/international-surgery.kglmeridian.com\/view\/journals\/insu\/101\/3-4\/article-p171.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/international-surgery\/article-pdf\/101\/3-4\/171\/2203823\/intsurg-d-15-00159_1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/international-surgery.kglmeridian.com\/downloadpdf\/journals\/insu\/101\/3-4\/article-p171.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/international-surgery.kglmeridian.com\/downloadpdf\/journals\/insu\/101\/3-4\/article-p171.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T19:08:06Z","timestamp":1751483286000},"score":1,"resource":{"primary":{"URL":"https:\/\/international-surgery.kglmeridian.com\/view\/journals\/insu\/101\/3-4\/article-p171.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,3]]},"references-count":19,"journal-issue":{"issue":"3-4"},"URL":"https:\/\/doi.org\/10.9738\/intsurg-d-15-00159.1","relation":{},"ISSN":["0020-8868","2520-2456"],"issn-type":[{"value":"0020-8868","type":"print"},{"value":"2520-2456","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,3]]}}}