[Acute inguinal swelling--unusual presentation of postoperative necrotising pancreatitis].
Necrotising pancreatitis presenting as an acute inguinal swelling is an extremely rare condition. We report on a 61-year-old male who underwent explorative laparotomy for pancreatic tumour. Intraoperatively, the diagnosis of a locally advanced carcinoma of the head of the pancreas was confirmed histologically. During the postoperative course, the patient developed an acute inguinal swelling, which was suspected to be an incarcerated hernia. Intraoperatively, exploration of both abdomen and inguinal canal revealed an acute necrotising pancreatitis. This case is, to the best of our knowledge, the first case report on a postoperative necrotising pancreatitis masquerading as an incarcerated inguinal hernia in an adult male, and the diagnostic problems are discussed.
Benedix
F
F
Klinik für Chirurgie, Universitätsklinikum, Magdeburg, Deutschland. frankbenedix@gmx.de
Lippert
H
H
Meyer
F
F
D018784:Abdominal Abscess / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D000230:Adenocarcinoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D003937:Diagnosis, Differential; D004487:Edema / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D006552:Hernia, Inguinal / Q000175:diagnosis; D006801:Humans; D007264:Inguinal Canal / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D010190:Pancreatic Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D019283:Pancreatitis, Acute Necrotizing / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D012086:Reoperation