
Major Scope
- Colon and Rectal Surgery
- General Surgery
- Gynecologic Oncology
- Plastic Surgery
- Neurological Surgery
- Orthopaedic Surgery
- Orthopaedic Surgery of the Spine
- Neonatal Surgery
- Prenatal Surgery
- Trauma Surgery
- Surgical Intensivists, Specializing In Critical Care Patients
- Thoracic Surgery
- Congenital Cardiac Surgery
- Thoracic Surgery-Integrated
- Vascular Surgery
Abstract
Citation: Clin Surg. 2019;4(1):2579.Case Report | Open Access
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
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..
Journal Basic Info
- Impact Factor: 2.395**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
- NLM ID: 101702548