Abstract:
:A carcinoma in a groin hernia is uncommon. We herein report a case of an intrasaccular carcinoma of the cecum in a right inguinoscrotal hernia with a simultaneous left inguinal hernia treated by a laparoscopic approach. A 70-year-old man presented with a painful, not completely reducible bilateral hernia. Blood examinations showed severe anemia. A computed tomography scan of the abdomen confirmed the presence of the cecum in the hernia sac, showing a round wall thickening of the herniated portion of the colon. A standard laparoscopic right colectomy with radical oncological purpose was performed. An incarcerated inguinal hernia is a relatively common surgical problem. In the case of anemia or other signs suggestive of malignancy, a specific preoperative work-up should be assessed. This case demonstrates that it is possible to perform an oncologically correct laparoscopic resection when the presence of malignancy is confirmed while performing an open traditional hernioplasty to avoid any possible contamination of the mesh.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Pernazza G,Monsellato I,Alfano G,Bascone B,Felicioni F,Ferrari R,D'Annibale Adoi
10.1007/s00595-010-4247-7subject
Has Abstractpub_date
2011-03-01 00:00:00pages
422-5issue
3eissn
0941-1291issn
1436-2813journal_volume
41pub_type
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