title: Retroperitoneal mass presenting as recurrent inguinal hernia: A case report.
abstract: BACKGROUND
  Retroperitoneal masses presenting as an inguinal hernia are rare conditions.
  
  
  METHODS
  A 53 year old male admitted with the symptoms of weight loss, abdominal discomfort and left sided recurrent inguinal hernia. Physical examination demonstrated an abdominal mass in the left flank and an irreducible, painless scrotal mass. He had a history of left sided inguinal hernia surgery six years ago. Computed tomography revealed a large enhancing left sided retroperitoneal mass invading the colon, pancreas and kidney and it was going down towards the left scrotum. Unblock tumor resection including the neighboring organs (left kidney, left colon, distal pancreas with spleen) was performed. Scrotal extension of the tumor was also excised and the inguinal canal was repaired primarily. Histopathology of the mass was myxoid-liposarcoma. The patient has disease free, without hernia recurrence but poor in renal function after twenty months follow-up.
  
  
  CONCLUSIONS
  Large retroperitoneal tumors may grow towards the inguinal region and they can mimic an inguinal hernia. An irreducible, painless and hard scrotal mass should be considered from this perspective.
authors.affiliation: Inonu University, Department of Surgery, Malatya, Turkey. Electronic address: tarduali@gmail.com.
authors.forename: Ali
authors.initials: A
authors.lastname: Tardu
authors.affiliation: Inonu University, Department of Surgery, Malatya, Turkey.
authors.forename: Mehmet Ali
authors.initials: MA
authors.lastname: Yagci
authors.affiliation: Inonu University, Department of Surgery, Malatya, Turkey.
authors.forename: Servet
authors.initials: S
authors.lastname: Karagul
authors.affiliation: Inonu University, Department of Surgery, Malatya, Turkey.
authors.forename: Ismail
authors.initials: I
authors.lastname: Ertugrul
authors.affiliation: Inonu University, Department of Surgery, Malatya, Turkey.
authors.forename: Cuneyt
authors.initials: C
authors.lastname: Kayaalp
keywords: Hernia; Inguinal; Mass; Retroperitoneal; Sarcoma
references.citation: Int J Surg Case Rep. 2011;2(7):198-200
references.pmid: 22096726
references.citation: Clin Pract. 2011 Nov 30;1(4):e130
references.pmid: 24765371
references.citation: BMJ Case Rep. 2012 Sep 07;2012:null
references.pmid: 22962376
references.citation: Am Surg. 2002 Jan;68(1):52-6
references.pmid: 12467318
references.citation: Surg Clin North Am. 2008 Jun;88(3):583-97, vii
references.pmid: 18514700
references.citation: J Emerg Med. 1989 Jan-Feb;7(1):21-4
references.pmid: 2703685