Primary malignant peritoneal mesothelioma in an incarcerated groin hernia: report of a case.
Malignant peritoneal mesothelioma arising from the inguinal hernia sac is rare. We report the case of a 71-year-old man examined in our emergency department for a bilateral inguinoscrotal hernia, which was recurrent in the right groin, and primary and incarcerated in the left groin. An emergency exploratory operation revealed a firm mass, 10 cm in diameter, in the left inguinal hernia sac. The remaining peritoneal surface appeared macroscopically normal. Therefore, we resected the mass and performed a Rutkow hernioplasty. The patient was discharged after a short, uneventful recovery, and was referred to the oncology department for adjuvant therapy. He is now well and asymptomatic with no evidence of ascites, 26 months after his operation. A mesothelioma of the hernial sac peritoneum was the final histological diagnosis.
Testini
Mario
M
Department of Applications in Surgery of Innovative Technologies, Section of General Surgery and Vascular Surgery and Clinical Oncology, University of Bari, Cesare 11, 70124, Bari, Italy.
Scattone
Anna
A
Di Venere
Beatrice
B
Lissidini
Germana
G
Piccinni
Giuseppe
G
Palmisano
Silvia
S
Serio
Gabriella
G
D000368:Aged; D004630:Emergencies; D006552:Hernia, Inguinal / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008654:Mesothelioma / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D010534:Peritoneal Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D012008:Recurrence