Authors:
Joanna Swann Forth Valley Royal Hospital, United Kingdom

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Jakub Kaczynski Forth Valley Royal Hospital, United Kingdom

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We report a case of an elderly patient presenting with the left iliac fossa mass. The provisional diagnosis included an inflammatory diverticular mass or sigmoid colon cancer. Interestingly, computed tomography (CT) of the abdomen and pelvis demonstrated the left incarcerated Spigelian hernia containing an inflamed loop of the colon with signs of an early strangulation. However, at operation, a mucinous tumor was found involving the descending and upper sigmoid colon. The tumor eroded through the anterior abdominal wall, which was excised “en bloc.” In the presented case, CT findings suggestive of a benign etiology were misleading. This potentially could have had significant consequences if the patient was treated conservatively.

This case highlights that clinical history and examination remain the core components of a safe surgical practice. Clinical judgment cannot be substituted even by the best quality imaging.

Therefore, we feel that it is important to share our experience of the successful management of the presented case.

  • 1.

    Hobson K , Roberts P: Etiology and pathophysiology of diverticular disease. Clin Colon Rectal Surg 17, 44874488 (2004)

  • 2.

    Garden OJ , Bradbury AW, Forsythe JLR, Parks RW (2012): Principles and Practice of Surgery. Elsevier, Edinburgh, London, New York, Oxford, Philadelphia, St. Louis, Sydney, Toronto

    • Search Google Scholar
    • Export Citation
  • 3.

    Kanemitsu Y , Kato T, Hirai T, Yasui K, Morimoto T, Shimizu Y, Kodera Y, Yamamura Y: Survival after curative resection for mucinous adenocarcinoma of the colorectum. Dis Colon Rectum 46, 44874488 (2003)

    • Search Google Scholar
    • Export Citation
  • 4.

    Tan KY , Ho KS, Lai JH, Lim JF, Ooi BS, Tang CL, Eu KW: Cutaneous and Subcutaneous Metastases of Adenocarcinoma of the Colon and Rectum. Ann Acad Med Singapore 35, 44874488 (2006)

    • Search Google Scholar
    • Export Citation
  • 5.

    Llaguna OH , Desai P, Fender AB, Zedek DC, Meyers MO, O’Neil BH, Diaz LA, Calvo BF: Subcutaneous metastatic adenocarcinoma: an unusual presentation of colon cancer-case report and literature review. Case Rep Oncol 3, 44874488 (2010)

    • Search Google Scholar
    • Export Citation
  • 6.

    Mittal T , Kumar V, Khullar R, Sharma A, Soni V, Baijal M, Chowbey PK: Diagnosis and management of Spigelian hernia: a review of literature and our experience. J Minim Access Surg 4, 44874488 (2008)

    • Search Google Scholar
    • Export Citation
  • 7.

    Farr RF , Allisy-Roberts PJ (1996): Physics for Medical Imaging. Bailliere Tindall, Oxford

  • 8.

    Strömberg C , Johansson G, Adolfsson A: Acute abdominal pain: diagnostic impact of immediate CT scanning. World J Surg 31, 44874488 (2007)

    • Search Google Scholar
    • Export Citation
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2019  
Scimago
H-index
11
Scimago
Journal Rank
0,220
Scimago
Quartile Score
Medicine (miscellaneous) Q3
Scopus
Cite Score
155/133=1,2
Scopus
Cite Score Rank
General Medicine 199/529 (Q2)
Scopus
SNIP
0,343
Scopus
Cites
206
Scopus
Documents
23

 

Interventional Medicine and Applied Science
Language English
Size  
Year of
Foundation
2009
Publication
Programme
changed title
Volumes
per Year
 
Issues
per Year
 
Founder Akadémiai Kiadó
Founder's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Publisher Akadémiai Kiadó
Publisher's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Responsible
Publisher
Chief Executive Officer, Akadémiai Kiadó
ISSN 2061-1617 (Print)
ISSN 2061-5094 (Online)

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