Locally advanced carcinoma of the cecum presenting as a right inguinal hernia: a case report and review of the literature View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2013-12

AUTHORS

Roberto Luca Meniconi, Giovanni Vennarecci, Pasquale Lepiane, Andrea Laurenzi, Roberto Santoro, Marco Colasanti, Mario Antonini, Giuseppe Maria Ettorre

ABSTRACT

INTRODUCTION: An inguinal hernia is a common surgical disease in elderly patients, but an association with intra-abdominal malignancies is rare. CASE PRESENTATION: We report a case of a 78-year-old Caucasian woman presenting with a right inguinal mass suspected to be an irreducible hernia. A computed tomography scan showed the presence of the cecum in her inguinal canal, with an irregular thickening of the cecal wall suggesting a neoplasm within the inguinal hernia. A colonoscopy was not completed owing to the huge involvement of the cecum into the hernia sac. A laparotomy was performed, at which time the cecum was herniated through her right inguinal canal and the cecal tumor had infiltrated her abdominal wall and femoral artery. A right inguinal incision was necessary for good vascular control and to carry out an en bloc resection of the tumor with the inguinal wall. A right colectomy was performed and the inguinal wall repaired. The postoperative course was uneventful and our patient received adjuvant radiochemotherapy. CONCLUSION: We describe a rare case of a locally advanced cecal tumor presenting as a right inguinal hernia. Both diagnosis and surgical treatment in elderly patients represent a challenge for the surgeon in cases of aggressive tumors as reported in this paper. More... »

PAGES

206

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1752-1947-7-206

DOI

http://dx.doi.org/10.1186/1752-1947-7-206

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1044523484

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/23945015


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139 schema:name Division of General Surgery and Organ Transplantation, S. Camillo Hospital, POIT S. Camillo-INMI Lazzaro Spallanzani, Circonvallazione Gianicolense 87, Rome, Italy
140 rdf:type schema:Organization
 




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