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Surgery
Mesenteric fibromatosis as an irreducible inguinal hernia
  1. Samantha Jiselle Go Siahetiong,
  2. Mark Augustine S Onglao,
  3. Sofia Isabel Tamesa Manlubatan and
  4. Marc Paul Jose Lopez
  1. Department of Surgery, University of the Philippines, Philippine General Hospital, Manila, Philippines
  1. Correspondence to Dr Samantha Jiselle Go Siahetiong; sgsiahetiong1@alum.up.edu.ph

Abstract

We present the case of a man in his 60s with hypertension, who had a 3-year history of an irreducible mass in the left inguinal area. The patient presented at the emergency room with left lower quadrant pain and scrotal pain. The clinical examination was not suggestive of an acute abdomen. A CT scan was done showing an anterior abdominal wall defect at the left inguinal region. The patient underwent exploratory laparotomy, ileal resection and anastomosis, mesh hernioplasty left for the mesenteric fibromatosis mass mimicking as an irreducible inguinal hernia. Histopathology and immunohistochemistry showed desmoid-type fibromatosis.

  • Stomach and duodenum
  • Gastrointestinal surgery
  • General surgery
  • Gastrointestinal system

https://doi.org/10.1136/bcr-2023-259200

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    Footnotes

    • Contributors SITM: critical revision for important intellectual content. MASO: drafting of the text, sourcing and editing of clinical images. SJGS: drafting of the text, investigation results, drawing original diagrams and algorithms. MPJL: gave final approval of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.