Work

Incarcerated Incisional Hernia: An Unusual Presentation of Metastatic Endometrial Carcinoma

Year: 2024

Type: article

Abstract: Abdominal wall hernia is a common condition seen in the clinical practice of surgery. However, malignant tumors in the hernia sac are rare and there are limited studies on this subject. We report a case of a 77-year-old female who presented with generalized abdominal pain and vomiting. She was treated for an incarcerated incisional hernia and underwent an exploratory laparotomy, which showed a multiseptated incisional hernia sac. Histopathological examination revealed a metastatic endometrial serous carcinoma (ESC). ESC is an aggressive variant associated with poor prognosis, characterized by metastasis and extrauterine spread. Its treatment mainly involves a multidisciplinary approach, including surgical treatment and chemoradiotherapy. This report highlights the importance of considering malignant tumors in the differential diagnosis of hernia sac contents. Raising awareness among healthcare professionals and the general public can aid in the prompt diagnosis, appropriate treatment, and improved outcomes for individuals with such rare presentations.

Source: Cureus

DOI: 10.7759/cureus.71497

Authors: Mang Ning Ong, Guo Hou Loo, Guhan Muthkumaran, Suria Hayati Md Pauzi, Nik Ritza Kosai

Institution: National University of Malaysia

Language: English

Topic: Hernia repair and management

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4403439302