Testini Mario, Scattone Anna, Di Venere Beatrice, Lissidini Germana, Piccinni Giuseppe, Palmisano Silvia, Serio Gabriella
Department of Applications in Surgery of Innovative Technologies, Section of General Surgery and Vascular Surgery and Clinical Oncology, University of Bari, Cesare 11, 70124, Bari, Italy.
Surg Today. 2005;35(5):421-4. doi: 10.1007/s00595-004-2920-4.
Malignant peritoneal mesothelioma arising from the inguinal hernia sac is rare. We report the case of a 71-year-old man examined in our emergency department for a bilateral inguinoscrotal hernia, which was recurrent in the right groin, and primary and incarcerated in the left groin. An emergency exploratory operation revealed a firm mass, 10 cm in diameter, in the left inguinal hernia sac. The remaining peritoneal surface appeared macroscopically normal. Therefore, we resected the mass and performed a Rutkow hernioplasty. The patient was discharged after a short, uneventful recovery, and was referred to the oncology department for adjuvant therapy. He is now well and asymptomatic with no evidence of ascites, 26 months after his operation. A mesothelioma of the hernial sac peritoneum was the final histological diagnosis.
起源于腹股沟疝囊的恶性腹膜间皮瘤罕见。我们报告一例71岁男性病例，该患者因双侧腹股沟阴囊疝在我院急诊科就诊，右侧腹股沟疝复发，左侧腹股沟疝为原发性且嵌顿。急诊探查手术发现左侧腹股沟疝囊内有一质地坚硬、直径10厘米的肿块。其余腹膜表面肉眼观正常。因此，我们切除了肿块并进行了鲁特科夫疝修补术。患者术后恢复短暂且顺利，随后出院，并被转至肿瘤科进行辅助治疗。术后26个月，他目前状况良好且无症状，无腹水迹象。疝囊腹膜间皮瘤为最终组织学诊断结果。
