ABSTRACT
We report a case of incarcerated crural hernia including omentum with metastases of pancreatic carcinoma. The scarce literature is reviewed. The possibility of mistaking an incarcerated crural hernia for an inguinal lymph node may result in a ganglionar biopsy ending up in a crural herniography under local anaesthesia. We recommend that all hernial sacs be examined, especially those of adult patients and, in such cases, a crural herniography with prolene should be made in view of its remarkably technical simplicity.
Subject(s)
Adenocarcinoma/secondary , Hernia, Femoral/complications , Hernia, Inguinal/complications , Omentum , Peritoneal Neoplasms/secondary , Adenocarcinoma/pathology , Aged , Hernia, Femoral/surgery , Hernia, Inguinal/surgery , Humans , Liver Neoplasms/secondary , Male , Pancreatic Neoplasms/diagnostic imaging , Pancreatic Neoplasms/pathology , Peritoneal Neoplasms/pathology , Polypropylenes , Prostheses and Implants , Tomography, X-Ray ComputedABSTRACT
A case of acute abdominal pain due to jejunal perforation in a patient with dissemination of laryngeal carcinoma is presented. Six jejunal intramural nodes of squamous cell carcinoma, one of them perforated, were observed at laparotomy. At the same time, a lesion suspicious of local recurrence in the tracheostomy orifice was observed. The patient died in the postoperative period. The rarity of intestinal perforation as an initial manifestation of metastatical dissemination of a laryngeal squamous cell carcinoma as well as its poor prognosis are discussed. The hematogenous spread is proposed in our case. Finally the inclusion of metastases in the differential diagnosis in a clinical episode of intestinal perforation in patients with a history of neoplasm is emphasized.
