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 journalArticle

2 Citations (Scopus)

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

Fingerprint

Cecum
Inguinal Hernia
Groin
Carcinoma
Inguinal Canal
Neoplasms
Hernia
Adjuvant Chemoradiotherapy
Colectomy
Abdominal Wall
Femoral Artery
Colonoscopy
Laparotomy
Blood Vessels
Tomography

Keywords

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

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Meniconi, R. L., Vennarecci, G., Lepiane, P., Laurenzi, A., Santoro, R., Colasanti, M., ... Ettorre, G. M. (2013). Locally advanced carcinoma of the cecum presenting as a right inguinal hernia: A case report and review of the literature. Journal of Medical Case Reports, 7, [206]. https://doi.org/10.1186/1752-1947-7-206

Locally advanced carcinoma of the cecum presenting as a right inguinal hernia : A case report and review of the literature. / Meniconi, Roberto Luca; Vennarecci, Giovanni; Lepiane, Pasquale; Laurenzi, Andrea; Santoro, Roberto; Colasanti, Marco; Antonini, Mario; Ettorre, Giuseppe Maria.

In: Journal of Medical Case Reports, Vol. 7, 206, 2013.

Research output: Contribution to journalArticle

Meniconi, Roberto Luca ; Vennarecci, Giovanni ; Lepiane, Pasquale ; Laurenzi, Andrea ; Santoro, Roberto ; Colasanti, Marco ; Antonini, Mario ; Ettorre, Giuseppe Maria. / Locally advanced carcinoma of the cecum presenting as a right inguinal hernia : A case report and review of the literature. In: Journal of Medical Case Reports. 2013 ; Vol. 7.
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