Recurrent mucinous adenocarcinoma of the ovary presenting as an inguino-labial hernia.
We report a case of a 65-year-old woman who nine years previously had undergone total abdominal hysterectomy and bilateral salpingoophorectomy for a large ovarian cyst. During surgery the cyst had ruptured and some mucinous material had been spilled intraabdominally. Histopathological studies demonstrated the cyst to be a mucinous adenocarcinoma of low malignant potential. Appendectomy had also been performed due to an enlarged appendix, which proved to be a mucocoele. The patient had been lost to subsequent follow-up. Her current presenting symptom was a giant inguino-labial hernia of 25 cm diameter with two small skin perforations leaking a gelatinous discharge. Subsequent laparotomy and inguinal exploration have disclosed herniated small intestine with an attached metastatic multicystic mucinous adenocarcinoma. This case represents a case of borderline mucinous adeno-carcinoma-pseudomyxoma peritonei recurring in a unique pattern as a huge inguino-labial hernia, and serves to emphasize the possible consequences of spillage of ovarian cyst contents during surgery.
Ben-Hur
H
H
Department of Obstetrics and Gynecology, Kaplan Hospital, Rehovot, Israel.
Schachter
M
M
Mashiah
A
A
Lifschitz-Mercer
B
B
Pfeffermann
R
R
D002288:Adenocarcinoma, Mucinous / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D000368:Aged; D001065:Appendix; D002429:Cecal Diseases / Q000150:complications; D005260:Female; D006552:Hernia, Inguinal / Q000209:etiology*; D006801:Humans; D009078:Mucocele / Q000150:complications; D009366:Neoplasm Seeding; D010051:Ovarian Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D010534:Peritoneal Neoplasms / Q000209:etiology*; D011553:Pseudomyxoma Peritonei / Q000209:etiology*; D014845:Vulvar Diseases / Q000209:etiology