Transverse Colon Tumour Masquerading as an Incarcerated Paraumbilical Hernia

Mandy Mak, Adaugo Amajuoyi, Faye Smith, Abdul R Hakeem and Vamsi Velchuru

Department of General Surgery, James Paget University Hospital NHS Trust, UK

^*Correspondance to: Mandy Mak 

 PDF  Full Text DOI: 10.25107/2474-1647.2579

Abstract

We report a case of direct invasion of colonic tumour into the abdominal wall, masquerading as a strangulated paraumbilical hernia. An elderly patient presented with a week’s history of abdominal lump, with abdominal bloating, nausea and reduced appetite. There was no history of vomiting or weight loss. She had multiple co-morbidities and a poor pre-morbid performance status. Clinical examination revealed a large paraumbilical erythematous swelling, irreducible and tender to touchfeatures in keeping with an incarcerated paraumbilical hernia. Contrasted CT abdomen revealed a transverse colon tumour, with anterior abdominal wall invasion and multiple liver metastases. The patient was treated conservatively following multidisciplinary team discussion, and passed away three months after from a thromboembolic event. The case illustrates the importance of considering malignancy as a differential especially in elderly population presenting with abdominal wall hernias or masses.

Keywords

Oncology; Colon cancer; Gastrointestinal surgery; Colorectal surgery

Cite the article

Mak M, Amajuoyi A, Smith F, Hakeem AR, Velchuru V. Transverse Colon Tumour Masquerading as an Incarcerated Paraumbilical Hernia. Clin Surg. 2019; 4: 2579..