Burke Thomas Patrick, Waters Peadar, Khan Waqar, Barry Kevin
Mayo General Hospital, Castlebar, Ireland.
BMJ Case Rep. 2014 Jan 27;2014:bcr2013202337. doi: 10.1136/bcr-2013-202337.
We present a case of an elderly woman presenting with bilateral groin hernias, one reducible and the other irreducible. CT of the abdomen and pelvis demonstrated an irreducible left inguinal hernia containing an incarcerated loop of transverse colon together with saccular metastatic tumour spread. Disseminated omental disease and ascitic fluid were noted throughout the peritoneal cavity secondary to ovarian carcinoma. As a consequence of extensive malignant disease and advanced age, the patient was treated conservatively and subsequently died a number of weeks later. To the best of our knowledge, this is only the second case of bilateral inguinal hernias presenting in a woman with a background of disseminated ovarian malignancy. This case highlights the importance of pre-reduction imaging in atypical complex cases.
我们报告一例老年女性双侧腹股沟疝病例，其中一侧可还纳，另一侧不可还纳。腹部和盆腔CT显示左侧腹股沟不可还纳疝，包含一段嵌顿的横结肠以及囊状转移性肿瘤播散。整个腹膜腔可见继发于卵巢癌的广泛网膜病变和腹水。由于广泛的恶性疾病和高龄，该患者接受了保守治疗，数周后死亡。据我们所知，这是第二例有播散性卵巢恶性肿瘤背景的女性出现双侧腹股沟疝的病例。该病例凸显了在非典型复杂病例中还纳前影像学检查的重要性。
