A CASE OF PRIMARY ADENOCARCINOMA OF THE APPENDIX PRESENTING WITH SYMPTOMS OF STRANGULATED INGUINAL HERNIA

Abstract

Primary adenocarcinoma of the appendix, a rare disease, commonly presents with symptom such as apendicitis or abdominal mass. Recently we encountered a patient with adenocarcinoma of the appendix presenting with right strangulated inguinal hernia.
A 81-year-old female, with the chief complaint of painfull (bulging) in the right inguinal area, was operatied on for suspected strangurated hernia. In the hernia sac, a 2×2×2cm tumor of appendix, its' peripheral area was infected and necrosed, was found. Neoplasm of the appendix presenting with hernia is so rare that only 4 cases has been reported in the foreign literature and this case is the first report in Japan