A palpable, obstructing carcinoma of the colon incarcerated within a large ventral hernia.
Uncovering the etiology of a bowel obstruction in a patient with a hernia represents a diagnostic dilemma. Although the hernia is often initially the presumptive cause of the bowel obstruction, obstructive carcinoma or another pathological process hidden by the hernia are important considerations. Here we describe a case of a man with an obstructing neoplasm of the colon within a large ventral hernia, whose constipation was initially attributed to incarceration of the hernia.
Grelotti
David J
DJ
Department of Surgery, Johns Hopkins Medical Institutions, Baltimore, Maryland 21224, USA. triall@jhmi.edu
Riall
Taylor S
TS
Williams
Christopher G
CG
D000368:Aged; D044684:Colon, Transverse / Q000000981:diagnostic imaging / Q000473:pathology*; D003110:Colonic Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003113:Colonoscopy; D003248:Constipation / Q000209:etiology; D003937:Diagnosis, Differential; D006555:Hernia, Ventral / Q000150:complications* / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D014057:Tomography, X-Ray Computed