BMJ Case Reports 2017; doi:10.1136/bcr-2016-218082
  • Unusual association of diseases/symptoms

Inguinal canal spermatic cord leiomyoma presenting as an incarcerated inguinal hernia

  1. Gareth Morris-Stiff3
  1. 1General Surgery, Cleveland Clinic, Digestive Disease Institute, Cleveland, Ohio, USA
  2. 2Department of Pathology, Cleveland Clinic, Cleveland, Ohio, USA
  3. 3HPB Surgery, Cleveland Clinic, Cleveland, Ohio, USA
  1. Correspondence to Dr Gareth Morris-Stiff, garethmorrisstiff{at}
  • Accepted 7 August 2017
  • Published 17 August 2017


Leiomyoma is a benign neoplasm originating from smooth muscle cells and is most commonly seen in the uterus, followed by the small bowel and oesophagus. We report a rare case of a 41-year-old male patient with a spermatic cord leiomyoma that presented as an inguinal canal mass mimicking an irreducible inguinal hernia without scrotal involvement. This report highlights the rare presentation and workup of an inguinal mass, importance of intraoperative decision making based on operative findings and the significance of postoperative pathology findings.


  • Contributors SDB and VK provided the pathology results, images and pathology section in the final manuscript. MK, resident assisted the surgery preformed, has done research, conception and interpretation of clinical data and writing the manuscript. GM-S, attending for the surgery preformed, has done conception and interpretation of clinical data, reviewing and editing of final manuscript and approval for submission.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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