Hygroma in a 23-year-old man.

We describe a 23-year-old man with a cystic hygroma on the right side of his lower neck. Cystic hygromas are uncommon congenital lesions of the lymphatic system and are often diagnosed before the age of 2. The finding of a cystic hygroma is rare in adults. We report the results regarding a cystic hygroma in a 23-year-old man. An initial physical examination was performed, followed by an ultrasound examination and CT. Surgical excision was the treatment of choice. Adequate imaging and physical examination of lateral neck masses in adults are needed to confirm the diagnosis.

A stepwise approach to 'groin pain': a common symptom, an uncommon cause.

A 70-year-old man was admitted with stinging pain in his right groin radiating towards his inner thigh. In a few days, the pain increased in intensity, he experienced diminished strength in his right leg and got dependent on morphine. Conventional investigations did not show any pathology. A CT-scan revealed a mass in the obturator foramen, indicative of a possible obturator hernia or neuroma of the obturator nerve. However, an additional MRI showed a well-circumscribed cystic mass in the obturator foramen, indicative of a ganglion cyst. This cyst was percutaneously punctured under the CT-guidance and the viscous material was aspirated, after which corticosteroids were injected. After the puncture all symptoms of the patient had completely resolved and the patient was discharged from the hospital without any painkillers.