METASTATIC ADENOCARCINOMA IN OMENTUM IN AN INCARCERATED INGUINAL HERNIA: A CASE REPORT WITH REVIEW OF LITERATURE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2013, Vol 2, Issue 10
Abstract
Inguinal hernias are common and metastatic deposits of intra abdominal malignancies in the omentum are also common. Detailed review of literature depicts that metastatic deposits in hernial sacs are extremely rare(0.05%).Although, a secondary deposit in hernial sac and/or hernial content is very rare but this possibility cannot be ruled out without a histopathological examination. We are presenting a case of a 65year old male with a left sided incarcerated inguinal hernia, in which histopathological examination of the incarcerated omentum revealed deposits of a mucinous adenocarcinoma. This patient came to us with complaints related to hernia and neither had any constitutional symptom , nor any evidence of intra abdominal malignancy on examination and routine investigations. Case is reported because it highlights the importance of histopathological examination of hernial contents and all hernial sacs, excised at the operation.
Authors and Affiliations
Prajapati R. M, Datey S. M, Rakesh Shishodiya, Vikramaditya Singh, Himanshu Bansal
Professor and HOD, Department of Pulmonary Medicine, NRI Medical College, Chinakakani, Guntur, Andhra Pradesh, India.
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