Bouillot J L, Aouad K, Alexandre J H
Université Paris VI, Hôpital Broussais, Service de chirurgie générale et digestive, Paris, France.
Dig Surg. 1999;16(2):158-60. doi: 10.1159/000018710.
We report a case of cancer of the caecum in a 71-year-old male who presented with parietal mesh abscess. Two years before, he was treated for a right inguinal hernia by insertion of a Dacron mesh. CT scan then colonoscopy determined the existence of a voluminous caecal tumor perforated in the abdominal wall with an important abscess around the mesh. Right colectomy and parietal muscles excision were performed completed with postoperative radiochemotherapy. At 2 years, there is no evidence of recurrence. Atypical features with a hernia mesh repair associated with a sudden change in the patient's condition should alert the clinician to the possibility of a further subjacent pathological process.
我们报告一例71岁男性盲肠癌患者，该患者表现为腹壁补片脓肿。两年前，他因右侧腹股沟疝接受了涤纶补片植入治疗。CT扫描及随后的结肠镜检查确定存在一个巨大的盲肠肿瘤，该肿瘤已穿破腹壁，补片周围形成了一个大脓肿。行右半结肠切除术及腹壁肌肉切除术，并在术后进行了放化疗。两年后，无复发迹象。疝修补补片与患者病情突然变化相关的非典型特征应提醒临床医生注意可能存在潜在的病理过程。
