Incidental Microscopic Finding Of Acellular Mucin In An Inguinal Hernia Sac As A Warning Sign Of Pseudomyxoma Peritonei

10.5580/286f ◽  
2008 ◽  
Vol 7 (2) ◽  
Keyword(s):  
Inguinal Hernia ◽  
Pseudomyxoma Peritonei ◽  
Warning Sign ◽  
Hernia Sac ◽  
Microscopic Finding

Recurrence of Pseudomyxoma Peritonei within the Inguinal Canal

2005 ◽  
Vol 91 (6) ◽  
pp. 481-486 ◽  
Author(s):  
Jacobo Cabanas ◽  
Rodrigo Gomes da Silva ◽  
Paulo Goldstein ◽  
Mohan Verghese ◽  
Paul H. Sugarbaker
Keyword(s):  
Inguinal Hernia ◽  
Cytoreductive Surgery ◽  
Pseudomyxoma Peritonei ◽  
Disease Recurrence ◽  
Inguinal Region ◽  
Definitive Treatment ◽  
Mucinous Tumor ◽  
Hernia Sac ◽  
Prior Surgery ◽  
Common Clinical Presentation

Aim and Background Tumor appearing in an inguinal hernia sac indicates widespread carcinomatosis with ascites. A new onset hernia is a common clinical presentation of pseudomyxoma peritonei syndrome arising in an appendiceal mucinous tumor. Recurrence of pseudomyxoma peritonei within the inguinal region was previously reported in only a single patient. We present five patients with a recurrence of pseudomyxoma peritonei tumor nodules in the inguinal region following cytoreductive surgery and attempt to understand the etiology of this treatment failure. Methods and Study Design From a database of 910 patients with mucinous appendiceal tumors with peritoneal dissemination who had definitive treatment, five patients who had disease recurrence within the inguinal region were identified. The clinical histories were studied and presented in order to make future recommendations regarding the management of these patients. Results Five patients with ages ranging 39 to 67 years had a mucinous tumor in the inguinal region as a recurrence after a previous cytoreductive surgery combined with perioperative intraperitoneal chemotherapy. One of them had separate recurrence in both right and left inguinal regions. All these patients were made disease-free by the reoperative surgery with a sacrifice of the testicle in four. None have evidence of a recurrence of an inguinal hernia despite the lack of formal repair. Conclusion At the time of initial cytoreductive surgery the surgeon should be aware of the inguinal region as a possible site of relapse. This may be more problematic in patients who have had prior surgery with mucoid fluid in a hernia as the presenting sign of pseudomyxoma peritonei. Inguinal recurrences should be removed with clear margins even if orchiectomy is required.

De Garengeot Hernia: Appendicitis within a Femoral Hernia

2005 ◽  
Vol 71 (6) ◽  
pp. 526-527 ◽  
Author(s):  
Gabriel Akopian ◽  
Magdi Alexander
Keyword(s):  
Inguinal Hernia ◽  
Femoral Hernia ◽  
18Th Century ◽  
Hernia Sac ◽  
Rare Finding ◽  
Amyand Hernia ◽  
De Garengeot Hernia

Many surgeons are familiar with Amyand hernia, which is an inguinal hernia sac containing an appendix. However, few surgeons know of the contribution of Rene Jacques Croissant de Garengeot, an 18th century Parisian surgeon, to hernias. He is quoted in the literature as the first to describe the appendix in a femoral hernia sac. We discuss the case of an 81-year-old woman who presented with appendicitis within a femoral hernia, a rare finding at surgery that is almost never diagnosed preoperatively. We also propose crediting Croissant de Garengeot by naming this condition after him. Although his full last name is Croissant de Garengeot, for convenience we suggest the simple diagnosis of “de Garengeot hernia.”

scholarly journals Interparietal Inguinal Hernia with Ectopic Testis – An Uncommon Surgical Emergency

2021 ◽  
Vol 10 (12) ◽  
pp. 912-914
Author(s):  
Sunilkumar B. Alur ◽  
Sangeetha Siva
Keyword(s):  
Inguinal Hernia ◽  
Primary Anastomosis ◽  
Tubular Atrophy ◽  
Left Testis ◽  
Hernia Sac ◽  
The Past ◽  
History Of ◽  
External Oblique Aponeurosis ◽  
External Oblique ◽  
Operative Recovery

A 46-year-old gentleman presented to casualty with a reducible right groin swelling (Figure 1) present since childhood which had suddenly become painful and irreducible for the past 6 hours. He gives history of absent right testis since childhood. There’s no history of vomiting, abdominal distension or obstipation. He had no surgeries in the past, no testicular disease or infertility problems. Physical examination revealed obstructed inguinal hernia with doubtful strangulation, absent right testis and normal appearing left testis. After evaluation, patient underwent emergency exploration of right inguinal hernia under general anaesthesia which revealed gangrenous small bowel, omentum in between external oblique aponeurosis and skin without a hernia sac (Figure 2) and; ectopic right testis in the superficial inguinal pouch (Figure 3). Segmental resection of gangrenous bowel with primary anastomosis and right orchidectomy performed through the same inguinal approach. Anatomical repair of posterior wall followed by approximation of external oblique aponeurosis was performed. Histopathology report showed gangrenous ileum with patchy necrosis; testis with tubular atrophy and hyalinisation, maturation arrest of spermatogonia and hyperplasia of interstitial Leydig cells. Post-operative recovery was uneventful.

scholarly journals Laparoscopic orchiopexy of palpable undescended testes_ experience of a single tertiary institution with over 773 cases

2020 ◽  
Author(s):  
Jia You ◽  
Gang Li ◽  
Shuang Li ◽  
Haitao Chen ◽  
Jun Wang
Keyword(s):  
Inguinal Hernia ◽  
Doppler Ultrasound ◽  
Vas Deferens ◽  
Abdominal Cavity ◽  
Undescended Testes ◽  
Processus Vaginalis ◽  
Hernia Sac ◽  
Patent Processus Vaginalis ◽  
Contralateral Patent Processus Vaginalis ◽  
Laparoscopic Orchiopexy

Abstract Background Discuss the superiority of laparoscopic orchiopexy in the treatment of inguinal palpable undescended testes. Methods Inclusion criteria: Preoperative examination and color Doppler ultrasound examination confirmed that the testes were located in the inguinal canal and could not be pulled into the scrotum, except for retractive and ectopic testes. The surgical steps were depicted as follow. The retroperitoneal wall was carved by ultrasonic scalpels, separates the spermatic vessels closed to the inferior pole of the kidney if necessary, dissects the peritoneum of vas deferens, cuts the testicular gubernaculum, and pulls back the testicle into the abdominal cavity. Besides, protect the vas deferens, and descend the testes to the scrotum and fix them without tension. Results There were 773 patients with 869 inguinal undescended palpable testes, 218 cases on the left side, 459 cases on the right side and 96 cases with bilateral undescended testes, whose age ranged from 6 months to 8 years, with an average of 20 months. All testes were successfully operated, no converted to open surgery. The average operation time was (34.8 ± 5.4) min. There were 692 testes have an ipsilateral patent processus vaginalis (89.5%); In 677 cases of unilateral cryptorchidism, 233 cases (34.4%) have a contralateral patent processus vaginalis, and laparoscopic percutaneous extraperitoneal closure the hernia sac carry out during the surgery. There was no subcutaneous emphysema during the operation, no vomiting, no abdominal distension, no wound bleeding and obvious pain after surgery, especially wound infection is rarely. Doppler ultrasound was evaluated regularly after surgery. The patients were followed up for 6 to 18 months. All the testes were located in the scrotum without testicular retraction and atrophy. No inguinal hernia or hydrocele was found in follow-up examination. Conclusion Laparoscopic orchiopexy manage inguinal palpable cryptorchidism is safe and effective, and there are obvious minimally invasive advantages. Furthermore, It could discover a contralateral patent processus vaginalis, and treat at the same time, which avoid the occurrence of metachronous inguinal hernia.

scholarly journals Incarcerated Amyand hernia with simultaneous rupture of an adenocarcinoma in an inguinal hernia sac: a case report

2015 ◽  
Vol 9 (1) ◽  
Author(s):  
Ioannis Karanikas ◽  
Argyrios Ioannidis ◽  
Petros Siaperas ◽  
Georgios Efstathiou ◽  
Ioannis Drikos ◽  
...  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Hernia Sac ◽  
Amyand Hernia ◽  
Simultaneous Rupture

scholarly journals An Incarcerated Colon Inguinal Hernia That Perforated into the Scrotum and Exhibited an Air-Fluid Level

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Seisuke Ota ◽  
Toshio Noguchi ◽  
Tomoya Takao ◽  
Takumi Sakamoto ◽  
Yuichiro Kanie ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Transverse Colon ◽  
Surgical Intervention ◽  
C Reactive Protein ◽  
Fluid Level ◽  
Hernia Sac ◽  
Reactive Protein ◽  
Free Air ◽  
History Of ◽  
Cold Extremities

There are few reports of a transverse colon inguinal hernia; furthermore, an inguinal hernia perforating the scrotum is rare. Here we report the case of a 79-year-old man who died after developing an incarcerated colon inguinal hernia that perforated the scrotum and exhibited an air-fluid level. The patient was referred to our hospital in November 2011 with a complaint of inability to move. Physical examination revealed an abnormally enlarged left scrotum and cold extremities. He reported a history of gastric cancer that was surgically treated more than 30 years ago. His white blood cell count and C-reactive protein level were elevated. Abdominal and inguinal computed tomography revealed that his transverse colon was incarcerated in the left inguinal canal. Free air and air-fluid level were observed around the transverse colon, suggestive of a perforation. The patient and his family refused any surgical intervention; therefore, he was treated with sultamicillin tosilate hydrate and cefotiam hydrochloride. However, he succumbed to panperitonitis 19 days after admission. The findings from this case indicate that the transverse colon can perforate into an inguinal hernia sac.

Hernioscopy: Laparoscopy via an Inguinal Hernia Sac

1992 ◽  
Vol 2 (5) ◽  
pp. 229-233 ◽  
Author(s):  
SANDER R. BINDEROW ◽  
ALLAN S. KLAPPER ◽  
BRUNO BUFALINI
Keyword(s):  
Inguinal Hernia ◽  
Hernia Sac

scholarly journals Low-pressure capnoperitoneum reduces stress responses during pediatric laparoscopic high ligation of indirect inguinal hernia sac

Medicine ◽  
2017 ◽  
Vol 96 (14) ◽  
pp. e6563 ◽  
Author(s):  
Xiaoguang Niu ◽  
Xubin Song ◽  
Aiping Su ◽  
Shanshan Zhao ◽  
Qinghao Li
Keyword(s):  
Inguinal Hernia ◽  
Stress Responses ◽  
Low Pressure ◽  
High Ligation ◽  
Indirect Inguinal Hernia ◽  
Hernia Sac
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