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Marmara Medical Journal 2011; 24 (1):73-77 DOI: 10.5472/MMJ.2010.01604.1Case Report / Olgu SunumuTuba-Ovarian Inguinal Herniation after Radiological PercutaneousTreatment of Inguinal Lymphocele; A Case Report and Review ofthe Literatureİnguinal Lenfoselin Radyolojik Perkütan Drenajı Sonrası Tuba Ovaryan İnguinalHerniasyon; Olgu Sunumu ve Literatürün Gözden GeçirilmesiMelih AKINCI, Kerim Bora YILMAZ, Celil UĞURLU, Hakan KULAÇOĞLUDışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, 4. Genel Cerrahi Kliniği, Ankara, TürkiyeABSTRACTIn this case report, we describe an unusual tuba-ovarianinguinal herniation after percutaneous inguinallymphocele treatment which is a rare condition after aradiological intervention. Lymphocele and other cysticstructures of the groin are reviewed within the differentialdiagnosisKeywords: Lymphocele, Inguinal Herniation,Percutaneous DrainageÖZETÇok nadir görülen inguinal lenfoselin girişimsel radyolojitarafından perkütan drenajı sonrası oluşan tuba ovaryaninguinal herniasyon olgusu sunulmuştur. Ayırıcı tanıdakasık bölgesinin lenfoseli ve diğer kistik oluşumlarıgözden geçirilmiştir.Anahtar Kelimeler: Lenfosel, İnguinal Herniasyon,Perkütan DrenajINTRODUCTIONThe groin hernia sac generally containsstructures such as ileum, jejunum, colon, omentumand infrequently unusual structures are contents ofthe hernial sac such as vermiform appendix, ovary,fallopian tube and, urinary bladder 1 . Most of thehernias containing ovary and fallopian tubes werereported to be found in children and, oftenaccompanied with other congenital anomalies of thegenital tract 2 .Lymphocele is a cystic structure thatoccurs after surgical interventions in areas with anextensive lymphatic network due to injury to thelymphatic vessels 3 . In this case report, we describean unusual tuba-ovarian inguinal herniation afterpercutaneous lymphocele treatment which is a veryrare condition after a radiological intervention.Lymphocele and other cystic structures of the groinare reviewed within the differential diagnosis.CASE REPORTA 46-year old, premenapousal woman wasadmitted to our clinic with a left inguinal painfulswelling. She was married and had two children,delivered by normal vaginal births, with ages 14 and7. She had a history of right and left inguinal herniarepairs fourteen years and twelve years agorespectively. Two years ago, she realized a leftinguinal painless swelling and a lymphocele was thepresumed diagnosis when ultrasound showed a4x3cm fluid collection. Inguinal lymphocele wasrevealed with computerized tomography (Figure 1),and was primarily treated with percutaneousdrainage. She did not have leukocytosis and all thelaboratory tests were in normal range. Drainagespecimen cytological examination reported asbenign cytology with monocyte, macrophage serialcells, lymphocyte cells, plasma cells and reactivemesothelial cell that was harmonious with thelymphocele diagnosis. Cultures were negative.Başvuru tarihi / Submitted: 19.05.2010 Kabul tarihi / Accepted: 09.11.2010Correspondence to: Melih Akıncı, M.D. Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, 4. Genel CerrahiKliniği, Ankara, Türkiye e-mail: melihakinci@yahoo.com73Marmara Medical Journal 2011; 24 (1):73-77