Year 2013 Vol. 21 No 6

CASE REPORTS

C. HOENEMANN 1, M. NICOLAY 1, S. JüRGENS 1, C. BERSCH 1, E. MATEVOSSIAN 2, D. DOLL 1

AN ABDOMINAL WALL TUMOR IS A SPIEGHELIAN HERNIA CONTAINING ADENOCARCINOMA OF UNKNOWN PRIMARY ORIGIN

St. Mary's Hospital, Academic Teaching Hospital of the University of Hannover, Vechta 1,
Hospital rechts der Isar, Technical University of Munich 2,
Germany

The 84 year old lady presented with nausea, but without vomiting showing a fixed left sided abdominal mass that could be palpated 15 cm lateral to the umbilical. She had a history for bilateral inguinal hernia, umbilical hernia and epigastric hernia surgery. Contrast CT revealed a Spieghelian hernia containing contrasted large bowel as the reason for the left side abdominal mass. On operation the Spieghelian hernia contained metastatic greater omental cake adhering to the left colon. The site of the primary adenocarcinoma could not be located intra- and postoperatively. Reasons for ventral abdominal mass and this unusual left side abdominal mass – a Spieghelian hernia containing in fact metastatic tumor – are discussed.

Keywords: Spieghelian hernia, cancer of unknown primary origin (CUP), colorectal cancer tumor, colonic carcinoma, adenocarcinoma
p. 109 -112 of the original issue
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Address for correspondence:
PD Dr. Dietrich Doll, MD, PhD,
Department of Surgery, St.-Marien Hospital Vechta, Academic Teaching Hospital of The Hannover University, Marienstr. 6-8, D - 49377 Vechta, Germany,
e-mail: dolld@gmx.de
Information about the authors:
Hoenemann C. MD, PhD, Intensive Care unit, St. Mary's Hospital, Academic Teaching Hospital of the University of Hannover.
Nicolay M. MD, Surgery unit of St. Mary's Hospital, Academic Teaching Hospital of the University of Hannover.
Jürgens S. MD, a senior radiologist, practice on radiology and radiological interventions, St. Mary's Hospital, Academic Teaching Hospital of the University of Hannover.
Bersch C. MD, a senior autopsist, St. Mary's Hospital, Academic Teaching Hospital of the University of Hannover.
Matevossian E. MD, PhD, Surgery unit, Hospital rechts der Isar, Technical University of Munich.
Doll D. MD, PhD, Surgery unit of St. Mary's Hospital, Academic Teaching Hospital of the University of Hannover.
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