E-ISSN 2367-699X | ISSN 2367-7414
 

Case Report 


A rare case of locally advanced mucinous adenocarcinoma of the appendix confined in the inguinal canal: Clinical presentation, operative management

Michalis Tsimaras, Vasiliki Ziozia, Stefanos Koffas, Napoleon Xirokostas, Dimitrios Filippou, Panagiotis Skandalakis, Vasileios Komporozos.

Abstract
Background: An Amyand’s hernia is a right inguinal hernia that contains the appendix in the hernia sac. Mucinous adenocarcinoma of the vermiform appendix is a rare neoplasm commonly discovered through the histology report of a presumed appendicitis specimen or as the cause of pseudomyxoma peritonei. It is very rare for the two entities to co-exist and present as an incarcerated right inguinal hernia.
Case Summary: We report a rare case of a mucinous appendiceal adenocarcinoma that ruptured towards the confided anatomical space of the inguinal canal. Initial presentation of the patient was with small bowel obstruction and clinical examination revealed a co-existing right inguinal hernia. Exploratory laparotomy findings revealed an appendiceal mucinous adenocarcinoma invading the adjacent bowel loops and identified an encapsulated collection of mucinous material extended into the inguinal canal and lateral abdominal wall. He underwent a right hemicolectomy with excision of the adjacent small bowel loops and the affected abdominal wall.
Conclusion: As the patient presented with a long-standing history of inconsistent symptoms, he underwent thorough preoperative investigations which revealed the true extend of the underlying disease and led to appropriate surgical intervention. The fact that the tumour extended towards the confided space of the inguinal canal prevented the development of pseudomyxoma peritonei. It remains to be examined if such cases, where the mucinous material is contained bare a favourable prognosis.

Key words: mucinous, appendiceal carcinoma, Amyand's hernia, pseudomyxoma peritonei


 
ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Michalis Tsimaras
Articles by Vasiliki Ziozia
Articles by Stefanos Koffas
Articles by Napoleon Xirokostas
Articles by Dimitrios Filippou
Articles by Panagiotis Skandalakis
Articles by Vasileios Komporozos
on Google
on Google Scholar
Article Statistics
 Viewed: 829
Downloaded: 40
Cited: 0


How to Cite this Article
Pubmed Style

Tsimaras M, Ziozia V, Koffas S, Xirokostas N, Filippou D, Skandalakis P, Komporozos V. A rare case of locally advanced mucinous adenocarcinoma of the appendix confined in the inguinal canal: Clinical presentation, operative management. Int J Surg Med. 2019; 5(2): 100-103. doi:10.5455/ijsm.locally-advanced-mucinous-adenocarcinoma-appendix


Web Style

Tsimaras M, Ziozia V, Koffas S, Xirokostas N, Filippou D, Skandalakis P, Komporozos V. A rare case of locally advanced mucinous adenocarcinoma of the appendix confined in the inguinal canal: Clinical presentation, operative management. http://www.ejos.org/?mno=292970 [Access: August 21, 2019]. doi:10.5455/ijsm.locally-advanced-mucinous-adenocarcinoma-appendix


AMA (American Medical Association) Style

Tsimaras M, Ziozia V, Koffas S, Xirokostas N, Filippou D, Skandalakis P, Komporozos V. A rare case of locally advanced mucinous adenocarcinoma of the appendix confined in the inguinal canal: Clinical presentation, operative management. Int J Surg Med. 2019; 5(2): 100-103. doi:10.5455/ijsm.locally-advanced-mucinous-adenocarcinoma-appendix



Vancouver/ICMJE Style

Tsimaras M, Ziozia V, Koffas S, Xirokostas N, Filippou D, Skandalakis P, Komporozos V. A rare case of locally advanced mucinous adenocarcinoma of the appendix confined in the inguinal canal: Clinical presentation, operative management. Int J Surg Med. (2019), [cited August 21, 2019]; 5(2): 100-103. doi:10.5455/ijsm.locally-advanced-mucinous-adenocarcinoma-appendix



Harvard Style

Tsimaras, M., Ziozia, . V., Koffas, . S., Xirokostas, . N., Filippou, . D., Skandalakis, . P. & Komporozos, . V. (2019) A rare case of locally advanced mucinous adenocarcinoma of the appendix confined in the inguinal canal: Clinical presentation, operative management. Int J Surg Med, 5 (2), 100-103. doi:10.5455/ijsm.locally-advanced-mucinous-adenocarcinoma-appendix



Turabian Style

Tsimaras, Michalis, Vasiliki Ziozia, Stefanos Koffas, Napoleon Xirokostas, Dimitrios Filippou, Panagiotis Skandalakis, and Vasileios Komporozos. 2019. A rare case of locally advanced mucinous adenocarcinoma of the appendix confined in the inguinal canal: Clinical presentation, operative management. International Journal of Surgery and Medicine, 5 (2), 100-103. doi:10.5455/ijsm.locally-advanced-mucinous-adenocarcinoma-appendix



Chicago Style

Tsimaras, Michalis, Vasiliki Ziozia, Stefanos Koffas, Napoleon Xirokostas, Dimitrios Filippou, Panagiotis Skandalakis, and Vasileios Komporozos. "A rare case of locally advanced mucinous adenocarcinoma of the appendix confined in the inguinal canal: Clinical presentation, operative management." International Journal of Surgery and Medicine 5 (2019), 100-103. doi:10.5455/ijsm.locally-advanced-mucinous-adenocarcinoma-appendix



MLA (The Modern Language Association) Style

Tsimaras, Michalis, Vasiliki Ziozia, Stefanos Koffas, Napoleon Xirokostas, Dimitrios Filippou, Panagiotis Skandalakis, and Vasileios Komporozos. "A rare case of locally advanced mucinous adenocarcinoma of the appendix confined in the inguinal canal: Clinical presentation, operative management." International Journal of Surgery and Medicine 5.2 (2019), 100-103. Print. doi:10.5455/ijsm.locally-advanced-mucinous-adenocarcinoma-appendix



APA (American Psychological Association) Style

Tsimaras, M., Ziozia, . V., Koffas, . S., Xirokostas, . N., Filippou, . D., Skandalakis, . P. & Komporozos, . V. (2019) A rare case of locally advanced mucinous adenocarcinoma of the appendix confined in the inguinal canal: Clinical presentation, operative management. International Journal of Surgery and Medicine, 5 (2), 100-103. doi:10.5455/ijsm.locally-advanced-mucinous-adenocarcinoma-appendix