A mesothelial cyst of the round ligament presenting as an inguinal hernia after gonadotropin stimulation for in vitro fertilization David A. Ryley, M.D.,

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A mesothelial cyst of the round ligament presenting as an inguinal hernia after gonadotropin stimulation for in vitro fertilization David A. Ryley, M.D., Donald W. Moorman, M.D., Jonathan L. Hecht, M.D., Michael M. Alper, M.D. Fertility and Sterility Volume 82, Issue 4, Pages 944-946 (October 2004) DOI: 10.1016/j.fertnstert.2004.03.042 Copyright © 2004 American Society for Reproductive Medicine Terms and Conditions

FIGURE 1 (A) Gross inspection of the left inguinal mass revealed a 2.7 cm smooth walled cyst and attached pedicle. (B) The cyst wall is lined with a single layer of flattened epithelium consistent with a mesothelial origin. (C) A layer of smooth muscle supports the cyst wall. (D, E) Immunoperoxidase stains for estrogen and progesterone revealed nuclear reactivity in the smooth muscle layer. Fertility and Sterility 2004 82, 944-946DOI: (10.1016/j.fertnstert.2004.03.042) Copyright © 2004 American Society for Reproductive Medicine Terms and Conditions