大網原発デスモイドを内容とした鼠径ヘルニアの1例

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  • A CASE OF AN OMENTAL DESMOID TUMOR DISCOVERED AS THE CONTENT OF AN INGUINAL HERNIA

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Desmoid tumors are divided into three groups by location, as abdominal, extraabdominal and intraabdominal desmoid. Intraabdominal desmoid generally originates from the mesenterium. We experienced a case of omental desmoid tumor discovered as the content of an inguinal hernia. Omental desmoid tumor is very rare and we report the case.<br> A 70-year-old man, who had undergone radical prostatectomy for prostatic cancer at the age of 67, was admitted to our hospital because of a fist-sized swelling in the right inguinal area. Abdominal CT scan revealed that the swelling was an inguinal hernia and the contents were the omentum and a 2.5×2.5cm isodencity tumor. Operation (Mesh-plug method) was performed with the diagnosis of non-reducible inguinal hernia. The prolapsed omentum and the tumor were resected. Histologically, the tumor was desmoid originated from the omentum. Only two cases of omental desmoid tumor have been reported in Japan.

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