tailieunhanh - Báo cáo y học: "Synchronous colonic carcinomas presenting as an inguinoscrotal hernial mass: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Synchronous colonic carcinomas presenting as an inguinoscrotal hernial mass: a case report. | Journal of Medical Case Reports BioMed Central Case report Open Access Synchronous colonic carcinomas presenting as an inguinoscrotal hernial mass a case report Siao Pei Tan Siong-Seng Liau Shayma u M Habeeb and Dermot O Riordan Address Department of General Surgery West Suffolk Hospital Hardwick Lane Bury St Edmunds IP33 2QZ Suffolk UK Email Siao Pei Tan - siaopei@ Siong-Seng Liau - liauss@ Shayma u M Habeeb - shaymau2001@ Dermot O Riordan - Riordan@ Corresponding author Published 28 June 2007 Received 23 February 2007 Journal of Medical Case Reports 2007 1 36 doi 1752-1947-1-36 Accepted 28 June 2007 This article is available from http content 1 1 36 2007 Tan et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background A carcinoma within a hernia in the groin is uncommon with an incidence of less than percent of all excised sacs. This article describes a case of synchronous colonic carcinomas one of which presented as an inguinoscrotal mass. Case presentation A 69-year old man presented with a large irreducible left inguinoscrotal hernia and symptoms of obstruction. On examination there was an 8 cm palpable mass within the hernia sac. CT scan revealed small and proximal large bowel obstruction secondary to a large ingunoscrotal sac and synchronous colonic tumours of the transverse colon and the ascending colon. The former presented as an inguinoscrotal mass. Laparotomy revealed a large tumour mass arising from the transverse colon in the hernia sac. The procedure was followed by an extended right hemicolectomy during which the second tumour in the ascending colon was also resected. Conclusion This case demonstrates a .

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