[Peritoneal carcinosis diagnosed during herniotomy]

A case of inguinal hernia is described where metastasis from adenocarcinoma with mucinous products in the bottom of the sac are discovered intraoperatively. Prior to operation, the patient is suspected for abdominal organ carcinoma, but no evidence of such a lesion is documented. Persistent complaints of painfulness in the region of hernia is the cause prompting the undertaking of herniotomy. Whenever the hernial sac is implicated in pathologic processes involving peritoneum and abdominal organs, the clinical manifestations of the intraabdominal process and of the hernia proper are modified.