PDF(Pubmed)
Abstract：
BACKGROUND: The most common causes of scrotal enlargement in patients include primary tumor of the scrotum, inflammation, hydrocele of the tunica vaginalis, and indirect inguinal hernia; scrotal enlargement caused by external tumors of the scrotum is rare. The patient had both a greater omentum tumor and an inguinal hernia, and the tumor protruded into the scrotum through the hernia sac, which is even rarer. Moreover, omental tumors are mostly metastatic, and primary omental fibroma is rare.
METHODS: Here, we report a rare case of a 25-year-old young man with scrotal enlargement and pain for 3 months. Preoperative examination and multidisciplinary discussions considered intra-abdominal tumor displacement and inguinal hernia, and intraoperative exploration confirmed that the greater omentum tumor protruded into the scrotum. Therefore, tumor resection and tension-free inguinal hernia repair were performed. The final diagnosis was benign fibroma of the greater omentum accompanied by an indirect inguinal hernia.
CONCLUSIONS: This unusual presentation of a common inguinal hernia disease illustrates the necessity of performing detailed history taking, physical examination, and imaging before surgery.
METHODS: Here, we report a rare case of a 25-year-old young man with scrotal enlargement and pain for 3 months. Preoperative examination and multidisciplinary discussions considered intra-abdominal tumor displacement and inguinal hernia, and intraoperative exploration confirmed that the greater omentum tumor protruded into the scrotum. Therefore, tumor resection and tension-free inguinal hernia repair were performed. The final diagnosis was benign fibroma of the greater omentum accompanied by an indirect inguinal hernia.
CONCLUSIONS: This unusual presentation of a common inguinal hernia disease illustrates the necessity of performing detailed history taking, physical examination, and imaging before surgery.
摘要：
背景：患者阴囊肿大的最常见原因包括阴囊的原发性肿瘤，炎症,阴道膜鞘膜积液，和腹股沟斜疝；由阴囊外部肿瘤引起的阴囊肿大很少见。病人既有大网膜肿瘤又有腹股沟疝,肿瘤通过疝囊伸入阴囊,这更罕见。此外，网膜肿瘤大多是转移性的，原发性网膜纤维瘤是罕见的。
方法：这里，我们报告一例罕见的病例，25岁的年轻男子阴囊肿大，疼痛3个月。术前检查和多学科讨论考虑腹腔内肿瘤移位和腹股沟疝，术中探查证实大网膜肿瘤突出到阴囊内。因此,进行肿瘤切除和腹股沟疝无张力修补术.最终诊断为大网膜良性纤维瘤，伴有腹股沟斜疝。
结论：这种常见腹股沟疝疾病的不寻常表现说明了进行详细病史记录的必要性，体检,和手术前的成像。
方法：这里，我们报告一例罕见的病例，25岁的年轻男子阴囊肿大，疼痛3个月。术前检查和多学科讨论考虑腹腔内肿瘤移位和腹股沟疝，术中探查证实大网膜肿瘤突出到阴囊内。因此,进行肿瘤切除和腹股沟疝无张力修补术.最终诊断为大网膜良性纤维瘤，伴有腹股沟斜疝。
结论：这种常见腹股沟疝疾病的不寻常表现说明了进行详细病史记录的必要性，体检,和手术前的成像。
