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Hydatid cyst prolapsed in a hernia sac.
La Tunisie Medicale
|June 8, 2018
Summary
A 70-year-old patient presented with a 3-year history of an abdominal mass. Imaging revealed two large, fluid-filled masses within a ventral hernia sac, likely related to prior gastric ulcer surgery.
Area of Science:
- Gastroenterology
- Abdominal Surgery
- Radiology
Background:
- A 70-year-old patient with a history of gastric ulcer intervention presented with a 3-year-old abdominal mass.
- Clinical examination revealed a ventral hernia containing an irregular, mobile mass.
Purpose of the Study:
- To report a rare case of recurrent abdominal masses within a ventral hernia sac.
- To highlight the diagnostic utility of computed tomography in evaluating complex abdominal masses.
Main Methods:
- Clinical examination of the abdominal mass.
- Computed tomography (CT) scan of the abdomen.
Main Results:
- CT scan identified two large, multilocular, fluid-filled formations within the hernia sac.
- The masses were completely prolapsed into the hernia.
Conclusions:
- Ventral hernias can rarely present with complex internal masses.
- Computed tomography is crucial for characterizing such herniated contents and guiding management.
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