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Giant ovarian tumor presenting as an incarcerated umbilical hernia: a case report.

Karabulut Z, Aydin O, Onur E, Celik NY, Moray G - J. Korean Med. Sci. (2009)

Bottom Line: On examination, a large, irreducible umbilical hernia was found.A large, multilocular tumor was found.The woman was discharged 6 days after her admission.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Baskent University Medical Faculty, Ankara, Turkey. drkarabulut33@yahoo.com

ABSTRACT
We report a rare case of a giant ovarian tumor presenting as an incarcerated umbilical hernia. A 61-yr-old woman was admitted to the hospital with severe abdominal pain, an umbilical mass, nausea and vomiting. On examination, a large, irreducible umbilical hernia was found. The woman underwent an urgent operation for a possible strangulated hernia. A large, multilocular tumor was found. The tumor was excised, and a total abdominal hysterectomy and bilateral salphingo-oophorectomy were performed. The woman was discharged 6 days after her admission. This is the first report of incarcerated umbilical hernia containing a giant ovarian tumor within the sac.

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The resected tumor was multilocular, measured 25×23×16 cm, and weighed 3,680 g.
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Figure 2: The resected tumor was multilocular, measured 25×23×16 cm, and weighed 3,680 g.

Mentions: During the operation, a partial omental infarct and an intraabdominal tumor were found in the hernia sac (Fig. 1). A partial omentectomy was performed, and abdominal incision was extended from pubis to the epigastrium. A large, multilocular, left ovarian cyst, which extended from the transverse colon to rectovesical space, was observed (Fig. 2). After dissecting the tumor from the adjacent tissues, tumor excision, total abdominal hysterectomy and bilateral salphingo-oophorectomy were performed with no complications. During the operation, a frozen section was unavailable. The abdominal wall was closed with primary continuous sutures.


Giant ovarian tumor presenting as an incarcerated umbilical hernia: a case report.

Karabulut Z, Aydin O, Onur E, Celik NY, Moray G - J. Korean Med. Sci. (2009)

The resected tumor was multilocular, measured 25×23×16 cm, and weighed 3,680 g.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2698209&req=5

Figure 2: The resected tumor was multilocular, measured 25×23×16 cm, and weighed 3,680 g.
Mentions: During the operation, a partial omental infarct and an intraabdominal tumor were found in the hernia sac (Fig. 1). A partial omentectomy was performed, and abdominal incision was extended from pubis to the epigastrium. A large, multilocular, left ovarian cyst, which extended from the transverse colon to rectovesical space, was observed (Fig. 2). After dissecting the tumor from the adjacent tissues, tumor excision, total abdominal hysterectomy and bilateral salphingo-oophorectomy were performed with no complications. During the operation, a frozen section was unavailable. The abdominal wall was closed with primary continuous sutures.

Bottom Line: On examination, a large, irreducible umbilical hernia was found.A large, multilocular tumor was found.The woman was discharged 6 days after her admission.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Baskent University Medical Faculty, Ankara, Turkey. drkarabulut33@yahoo.com

ABSTRACT
We report a rare case of a giant ovarian tumor presenting as an incarcerated umbilical hernia. A 61-yr-old woman was admitted to the hospital with severe abdominal pain, an umbilical mass, nausea and vomiting. On examination, a large, irreducible umbilical hernia was found. The woman underwent an urgent operation for a possible strangulated hernia. A large, multilocular tumor was found. The tumor was excised, and a total abdominal hysterectomy and bilateral salphingo-oophorectomy were performed. The woman was discharged 6 days after her admission. This is the first report of incarcerated umbilical hernia containing a giant ovarian tumor within the sac.

Show MeSH
Related in: MedlinePlus