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Primary omental liposarcoma presenting as an incarcerated inguinal hernia

D J Milic1, M M Rajkovic, V D Pejcic

  • 1Surgical Clinic, Clinical Center Nis, Brace Taskovica 48, 18 000 Nis, Serbia and Montenegro, Serbia. dmilic@ptt.yu

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|June 9, 2004
PubMed

Insights

This case report details a rare instance of primary omental liposarcoma within an incarcerated inguinal hernia in a male patient. This unusual presentation highlights the importance of thorough surgical exploration for unexpected intra-abdominal masses.

Area of Science:

  • Oncology
  • Surgical Pathology
  • Gastroenterology

Background:

  • Liposarcoma is a malignant tumor arising from fat cells.
  • The omentum is a fold of peritoneum that connects the stomach to other abdominal organs.
  • Inguinal hernias occur when tissue protrudes through a weak spot in the abdominal muscles.

Observation:

  • A 52-year-old male presented with acute abdominal and groin pain due to an incarcerated inguinal hernia.
  • During emergency surgery, a tumor was discovered within the hernia sac, originating from the greater omentum.
  • The tumor was resected along with a portion of the omentum, and a Shouldice hernioplasty was performed.

Findings:

  • Histopathological examination confirmed the tumor as a myxoid liposarcoma.
  • This represents the first reported case of primary omental liposarcoma presenting within a hernia sac in the English medical literature.

Implications:

  • This case underscores the potential for rare intra-abdominal pathologies to manifest as inguinal hernias.
  • It emphasizes the need for careful intraoperative assessment when unexpected masses are encountered during hernia repair.
  • Further investigation into the etiology and behavior of omental liposarcomas may be warranted.

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