Retroperitoneal Microfilarial Lymph Varix Mimicking Inguinal Hernia


A retroperitoneal microfilarial lymph varix presenting as inguinal swelling is very rare. The clinical presentation of an inguinal lymph varix mimics that of an inguinal hernia. Here, we are reporting a case of bilateral inguinal swelling clinically diagnosed as an inguinal hernia, which eventually turned out to be a large retroperitoneal microfilarial lymph varix mimicking as an inguinal hernia.

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Correspondence to Sachin A. Suryawanshi.

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The authors declare that they have no conflict of interest.

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Learning Points

-Although rare, remember the lymph varix as a differential diagnosis for inguinal swellings.

- An awareness among young surgeons that preoperative imaging of the abdomen and pelvis (at least in patients from endemic regions) can help in the diagnosis of this condition preoperatively

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Balsarkar, D.J., Suryawanshi, S.A., Afroz, S.M. et al. Retroperitoneal Microfilarial Lymph Varix Mimicking Inguinal Hernia. Indian J Surg (2021).

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  • Inguinal swelling
  • Inguinal hernia
  • Microfilaria
  • Retroperitoneal lymph varix