Isolated Round Ligament Dermoid Cyst Mimicking an Inguinal Hernia through a False-positive Cough Impulse: A Case Report

Key Points

• The case report aims to highlight the diagnostic challenges posed by a dermoid cyst mimicking an inguinal hernia.
• Detailed clinical assessment of the patient
• Imaging studies were performed to differentiate the cyst from an inguinal hernia
• Evaluation of cough impulse in relation to physical examination findings
• The patient exhibited a false-positive cough impulse
• Imaging confirmed the diagnosis of an isolated round ligament dermoid cyst
• Surgical intervention was performed successfully with resolution of symptoms