SciELO - Scientific Electronic Library Online

 
vol.83 issue3I won’t take up any more of your time, doctorHereditary multiple exostoses with spinal canal involvement author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO

Share


Medicina (Buenos Aires)

Print version ISSN 0025-7680On-line version ISSN 1669-9106

Medicina (B. Aires) vol.83 no.3 Ciudad Autónoma de Buenos Aires Aug. 2023

 

IMAGES IN MEDICINE

Cloquet’s lymph node abscess: a rare differential diagnosis of inguinocrural mass in the emergency setting

Tomás Cifone1  * 

José F. Viñas1 

Ariel S. Sedziszow1 

1 Servicio de Cirugía General, Hospital Italiano de Buenos Aires, Argentina

A 68-year-old patient with a history of laparoscopic radical prostatectomy consulted the emergency depart ment for groin pain and fever of 48 hours of evolution. Physical examination revealed an irreducible and pain ful tumor on palpation at the right inguinocrural level. An abdominal-pelvic CT was performed, which showed a mass with liquid content and signs of inflammation at the level of the subinguinal space, medial to the femo ral vein (Figure 1-2). The main differential diagnoses pro posed were complicated crural hernia and abscessed adenopathy of the proximal deep inguinal node [Cloquet’s node or Rosenmuller’s node]. In view of the diagnostic doubt and the regular condition of the patient, it was decided to perform an exploratory laparoscopy where the presence of a complicated crural hernia was ruled out. Subsequently, ultrasound of the inguinocrural region and puncture of the hypoechoic image in the right crural re gion were performed, extracting 15 ml of pus which was sent for culture and cytology. The patient evolved favor ably and was discharged on the second postoperative day.

Figure 1 

Figure 2 

Cloquet’s lymph node lymphadenopathy should be considered among the multiple differential diagnoses of an inguinocrural mass in the emergency. Exploratory laparoscopy is a minimally invasive method that allows us to rule out the presence of complicated hernia when there is diagnostic doubt, prioritizing patient safety.

Creative Commons License This is an open-access article distributed under the terms of the Creative Commons Attribution License