title: Laparoscopic treatment of a carcinoma of the cecum incarcerated in a right groin hernia: report of a case.
abstract: A carcinoma in a groin hernia is uncommon. We herein report a case of an intrasaccular carcinoma of the cecum in a right inguinoscrotal hernia with a simultaneous left inguinal hernia treated by a laparoscopic approach. A 70-year-old man presented with a painful, not completely reducible bilateral hernia. Blood examinations showed severe anemia. A computed tomography scan of the abdomen confirmed the presence of the cecum in the hernia sac, showing a round wall thickening of the herniated portion of the colon. A standard laparoscopic right colectomy with radical oncological purpose was performed. An incarcerated inguinal hernia is a relatively common surgical problem. In the case of anemia or other signs suggestive of malignancy, a specific preoperative work-up should be assessed. This case demonstrates that it is possible to perform an oncologically correct laparoscopic resection when the presence of malignancy is confirmed while performing an open traditional hernioplasty to avoid any possible contamination of the mesh.
authors.affiliation: Minimally Invasive and Robotic Surgery Unit, Department of Surgery, San Giovanni Addolorata Hospital, Via dell'Amba Aradam 9, 00184, Rome, Italy.
authors.forename: Graziano
authors.initials: G
authors.lastname: Pernazza
authors.forename: Igor
authors.initials: I
authors.lastname: Monsellato
authors.forename: Giovanni
authors.initials: G
authors.lastname: Alfano
authors.forename: Bruno
authors.initials: B
authors.lastname: Bascone
authors.forename: Francesco
authors.initials: F
authors.lastname: Felicioni
authors.forename: Riccardo
authors.initials: R
authors.lastname: Ferrari
authors.forename: Annibale
authors.initials: A
authors.lastname: D'Annibale
mesh_terms: D000368:Aged; D002277:Carcinoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D002430:Cecal Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003113:Colonoscopy; D003937:Diagnosis, Differential; D006552:Hernia, Inguinal / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed