title: Metastatic hernial sac tumor in a patient with FUO.
abstract: The presence of primary or metastatic cancer within a hernia sac is uncommon, which occurs in fewer than 0.5% of all surgically excised sacs (1). This article demonstrates a case of a metastatic pancreatic cancer, one of which presented as an inguinal hernia with fever of unknown origin (FUO). A 44-year-old male presented with a history of FUO and a painful inguinal hernia. Inguinal canal exploration revealed a mass like lesion in the sac without any correlation to abdominopelvic viscera. Postoperative evaluations confirmed moderately differentiated metastatic adenocarcinoma from pancreatic origin.
authors.affiliation: Department of General Surgery, 15 Khordad Hospital, Gonabad University of Medical Sciences, Gonabad, Iran.
authors.forename: Roohollah
authors.initials: R
authors.lastname: Sobhani
authors.forename: Samira
authors.initials: S
authors.lastname: Alsaeidi
authors.forename: Alireza
authors.initials: A
authors.lastname: Mahmoudabadi
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