scholarly journals Case Report: A case of metastatic adenocarcinoma found during inguinal hernia repair

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 118
Author(s):  
Akram Rajput ◽  
Aatera Haq ◽  
Syed Mohammad Mazhar Uddin ◽  
Zeeshan Zafar ◽  
Uzair Yaqoob
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Carbohydrate Antigen ◽  
Metastatic Adenocarcinoma ◽  
Elderly Male ◽  
Hernia Sac ◽  
Ileocecal Junction ◽  
Laparoscopic Hernioplasty ◽  
History Of

Tumors found during hernia repair are rare. They may be intrasaccular (most commonly), saccular or extrasaccular, and they are usually primary. In this case report we present a case of metastatic adenocarcinoma (confirmed by biopsy) found inside the inguinal hernia sac. Following further investigation, primary tumor of the ileum and ileocecal junction was found. An elderly male presented with a history of bilateral inguinal swelling for a year, that had been asymptomatic initially, but had increased in size and was painful following prolonged activity. During laparoscopic hernioplasty a right sided inguinal hernia with nodules on peritoneum and omentum were observed. After taking a biopsy, repair of the hernia was performed. Carcinoembryonic antigen (CEA) and carbohydrate antigen (CA) 19-9 levels were raised. A computed tomography (CT) scan of the abdomen and chest showed a mass involving the distal ileum and the ileocecal junction, with lymphadenopathy, peritoneal carcinomatosis, as well as hepatic and lung metastasis. Surgery was not possible in this patient. A possible relation of an inguinal hernia with an ileal neoplasm was found in this patient. An irreducible swelling not causing any problems can be suspicious, which should be properly investigated to get to an early diagnosis.

scholarly journals A rare case of Amyand’s hernia with acute appendicitis in a 69-year-old woman: a case report

2020 ◽  
Vol 2 (4) ◽  
pp. 385-387
Author(s):  
Antonio Gligorievski ◽  
◽  
◽  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Acute Appendicitis ◽  
Rare Case ◽  
Ct Scanning ◽  
Amyand’S Hernia ◽  
Hernia Sac ◽  
History Of ◽  
The Right ◽  
Surgical Clinic

Introduction: Amyand’s hernia is an extremely rare and atypical hernia that is difficult to diagnose clinically characterized by the herniation of the appendix into the inguinal sac. The aim of this report is to describe a case of Amyand’s hernia and highlights the importance of early CT scanning in reaching the exact and early diagnosis of Amyand’s hernia. Case report: We present a rare case of a 69-year-old female patient with a history of intermittent pain in the right inguinal region is see at the emergency surgical clinic. The patient underwent a CT scan of the abdomen and a small pelvis, and an inflamed appendix was diagnosed. The inflamed appendix is herniated in the inguinal hernia sac. Computed tomography was the only modality to diagnose the hernia sac contents preoperatively. Discussion: The reported incidence of Amyand’s hernia is less than 1% of all adult inguinal hernia cases. Acute appendicitis in Amyand’s hernia is even less common, with 0,1% of all cases of acute appendicitis. This hernia may be present without symptoms until the inflammation of the appendix may lead to incarceration, strangulation, necrosis, perforation, or rupture. Early symptoms include tenderness and inguinal swelling. Conclusions: Computer tomography helps make an accurate and timely diagnosis of Amyand’s hernia, thus avoiding complications from delayed surgery.

scholarly journals Retained Surgical Items in Inguinal Canal: A Case Report and Literature Review

2018 ◽  
Vol 6 (11) ◽  
pp. 2165-2167
Author(s):  
Amer Hashim Al Ani ◽  
Mohammad Bakri Hammami ◽  
Obaidah M. Mukhles Adi
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Literature Review ◽  
Hernia Repair ◽  
Preventive Measures ◽  
Inguinal Canal ◽  
Elective Surgery ◽  
Clinical Findings ◽  
History Of ◽  
High Index Of Suspicion

BACKGROUND: Retained surgical items (RSI) are rare medical challenges with serious complications and medicolegal implications. Knowledge and preventive measures for these rare events are currently not sufficient to limit their increasing incidence. Gauzes and sponges constitute most of RSI. Forceps, needles and pins may be found too. Diagnosis of these events is challenging and often missed due to nonspecific clinical findings. PRESENTATION OF CASE: We present here a 49-year-old patient who presented to the clinic with a history of chronic scrotal sinus on the same side of a repeatedly repaired inguinal hernia 4 months before admission. He underwent exploration of the inguinal canal as elective surgery. Exploration of the inguinal canal revealed missed surgical gauze left during the previous hernia repair. The gauze was removed, and the inguinal canal was repaired. The postoperative period was uncomplicated. CONCLUSION: Retained surgical items are completely preventable near-events. Although they are rare entities, clinicians must have a high index of suspicion for any postoperative, in patients presenting with pain, sinus or palpable masses.

scholarly journals Amyand’s hernia: a case report

2020 ◽  
Vol 7 (6) ◽  
pp. 2072
Author(s):  
Gawade Harshad Namdev ◽  
Padale Sanjay ◽  
Shetty Varun ◽  
Deshpande Padnanabh
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Mesh Repair ◽  
Amyand’S Hernia ◽  
Rare Entity ◽  
Hernia Sac ◽  
Tension Free ◽  
History Of

Amyand’s hernia is a rare pathology of an appendix with or without inflammation within the hernia sac is named after the French born English surgeon Dr. Claudius Amyand. We hereby present a case report of this rare entity known as a type 2 Amyand’s hernia. A 64 years old male, who had had a left-sided inguinal hernia for the previous 5 years, presented with a 2-day-history of fever, pain, vomiting, and irreducibility of the hernia. Upon exploration an irreducible inguinal hernia with appendix as its content was identified. Appendectomy was performed followed by a tension free mesh repair of the underlying hernia. Consequently, our recommendation is that the decision to perform an appendectomy and/or to use mesh to repair hernias should always be individualized.

scholarly journals Pneumothorax as a rare complication during laparoscopic total extra-peritoneal inguinal hernia repair: A case report and review of the literature

2021 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
Dimitrios Papaconstantinou ◽  
Nikolaos Koliakos ◽  
Andrianos-Serafeim Tzortzis ◽  
Dimitrios Schizas ◽  
Dimitrios Bistarakis ◽  
...  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Rare Complication ◽  
Review Of The Literature

scholarly journals Interparietal Inguinal Hernia with Ectopic Testis – An Uncommon Surgical Emergency

2021 ◽  
Vol 10 (12) ◽  
pp. 912-914
Author(s):  
Sunilkumar B. Alur ◽  
Sangeetha Siva
Keyword(s):  
Inguinal Hernia ◽  
Primary Anastomosis ◽  
Tubular Atrophy ◽  
Left Testis ◽  
Hernia Sac ◽  
The Past ◽  
History Of ◽  
External Oblique Aponeurosis ◽  
External Oblique ◽  
Operative Recovery

A 46-year-old gentleman presented to casualty with a reducible right groin swelling (Figure 1) present since childhood which had suddenly become painful and irreducible for the past 6 hours. He gives history of absent right testis since childhood. There’s no history of vomiting, abdominal distension or obstipation. He had no surgeries in the past, no testicular disease or infertility problems. Physical examination revealed obstructed inguinal hernia with doubtful strangulation, absent right testis and normal appearing left testis. After evaluation, patient underwent emergency exploration of right inguinal hernia under general anaesthesia which revealed gangrenous small bowel, omentum in between external oblique aponeurosis and skin without a hernia sac (Figure 2) and; ectopic right testis in the superficial inguinal pouch (Figure 3). Segmental resection of gangrenous bowel with primary anastomosis and right orchidectomy performed through the same inguinal approach. Anatomical repair of posterior wall followed by approximation of external oblique aponeurosis was performed. Histopathology report showed gangrenous ileum with patchy necrosis; testis with tubular atrophy and hyalinisation, maturation arrest of spermatogonia and hyperplasia of interstitial Leydig cells. Post-operative recovery was uneventful.

scholarly journals Incarcerated Amyand hernia with simultaneous rupture of an adenocarcinoma in an inguinal hernia sac: a case report

2015 ◽  
Vol 9 (1) ◽  
Author(s):  
Ioannis Karanikas ◽  
Argyrios Ioannidis ◽  
Petros Siaperas ◽  
Georgios Efstathiou ◽  
Ioannis Drikos ◽  
...  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Hernia Sac ◽  
Amyand Hernia ◽  
Simultaneous Rupture
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