Al-Bitar Ahmad, Shwin Mohammed
Faculty of Medicine, Damascus University, Damascus, Syria.
Department of Surgery, Damascus Hospital, Damascus, Syria.
J Surg Case Rep. 2025 Feb 28;2025(2):rjaf099. doi: 10.1093/jscr/rjaf099. eCollection 2025 Feb.
Inguinal hernias are the most common type of abdominal wall hernias, often requiring surgical intervention. Mesothelioma, a rare cancer associated with the linings of serous cavities, can occasionally be found in hernia sacs. This paper presents the case of a 38-year-old male with an incidental diagnosis of stage 4 pleural mesothelioma discovered during a routine inguinal hernia repair. Despite being asymptomatic, the patient's hernia sac examination revealed mesothelioma, which was confirmed through histopathological analysis and imaging. This rare finding underscores the importance of thorough examination and comprehensive oncological evaluation when unusual findings are encountered during routine surgeries. The case highlights the necessity for awareness and vigilance in similar scenarios to potentially improve patient outcomes.
腹股沟疝是最常见的腹壁疝类型,通常需要手术干预。间皮瘤是一种与浆膜腔衬里相关的罕见癌症,偶尔可在疝囊中发现。本文介绍了一名38岁男性的病例,该患者在常规腹股沟疝修补术中偶然被诊断为4期胸膜间皮瘤。尽管患者无症状,但对其疝囊检查发现了间皮瘤,经组织病理学分析和影像学检查得以证实。这一罕见发现凸显了在常规手术中遇到异常发现时进行全面检查和综合肿瘤学评估的重要性。该病例强调了在类似情况下提高认识和保持警惕的必要性,以潜在改善患者预后。