Das Ganglion des Hüftgelenkes als Differentialdiagnose eines pulsierenden Leistentumors

Abstract

Ganglion cysts of the hip joint are uncommon synovial-lined fluid-filled juxtaarticular groin lesions. Whereas in the past the correct diagnosis was often made only at surgery there are now valuable imaging methods used for the diagnostic work-up. In experienced hands ultrasonography (US) combined with colour duplex Doppler ultrasonography (CDDS) as a real-time imaging technique easily performed at the patient's bedside is a valid alternative to more expensive or invasive investigations. We report on a patient who presented with a ganglion cyst and in whom first supported by conventional US an aneurysm of the femoral artery was suspected. The diagnosis of a juxtaarticular ganglion was subsequently correctly made at our institution by CDDS and magnetic resonance imaging, respectively, and the cyst was exstirpated successfully. The differential diagnosis of a pulsating groin mass as well as the most useful and specific imaging methods in the diagnostic work-up in this clinical setting are discussed.

Femoral nerve compression secondary to a ganglion cyst arising from a hip joint: a case report and review of the literature

“…Inguinal swelling has been reported as another rare presentation of a hip ganglion [9]. Cassina et al reported a case of a hip ganglion presenting as a pulsatile groin mass [10]. Here, an aneurysm of the femoral artery was first suspected on conventional ultrasound.…”

“…Ultrasound and colour Doppler ultrasonography are of great importance for diagnosing palpable and non-palpable cystic and soft tissue masses [10]; however, in our patient, the ultrasound was used only to establish the non-vascular nature of the cyst with the diagnosis first established using MRI.…”