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

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

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Article number206
JournalJournal of Medical Case Reports
Volume7
DOIs
Publication statusPublished - 2013

Keywords

  • Cecum carcinoma
  • Inguinal hernia
  • Intrasaccular tumors
  • Right colectomy

ASJC Scopus subject areas

  • Medicine(all)

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