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2015 | 86 | 4 | 189-193
Tytuł artykułu

An Umbilical/Paraumbilical Hernia as a Sign of an Intraabdominal Malignancy in the Elderly

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The umbilical area can present with a variety of signs associated with an intra abdominal malignancy. An umbilical/paraumbilical hernia might itself be a sign of an internal malignancy. The correlation between the presence of an umbilical/paraumbilical hernia and an intra abdominal malignancy has been previously based only on case reports. The aim of the study was to evaluate the significance of an umbilical/paraumbilical hernia as a symptom of an intraabdominal malignancy. Material and methods. A retrospective analysis was performed; review of the medical records of 145 patients (113 female and 32 male; mean age 66.4±11.9) with an umbilical/paraumbilical hernia treated during the period of 2005-2013. Twenty-three patients (15.9%) were diagnosed with an intra abdominal malignancy; 34% were in the age group over 75 years of age. Results. The most common malignancies were: colorectal cancer, followed by pancreatic cancer, and cancers of the adnexa and kidneys. The patients with a concomitant malignancy identified were significantly older than those without a malignancy. In 65% of patients, the diagnosis was made postoperatively. Logistic regression analysis demonstrated that age, the presence of preoperative symptoms, anemia, and weight loss were independent risk factors for concomitant abdominal cancer. Conclusion. The findings of this study support intensive preoperative diagnostic evaluation of elderly patients that are qualified for surgery for an umbilical/paraumbilical hernia. This is particularly important because most of these patients had a small/medium hernia orifice, which did not allow for accurate manual abdominal exploration. Currently, the routine preoperative diagnostic evaluation is often insufficient for an accurate diagnosis
Wydawca

Rocznik
Tom
86
Numer
4
Strony
189-193
Opis fizyczny
Daty
wydano
2014-04-01
otrzymano
2002-06-03
online
2014-06-27
Twórcy
autor
  • Department of General Surgery, Jagiellonian University Medical College in Cracow Kierownik: prof. dr hab. W. Nowak
  • Department of General Surgery, Jagiellonian University Medical College in Cracow Kierownik: prof. dr hab. W. Nowak
  • Department of General Surgery, Jagiellonian University Medical College in Cracow Kierownik: prof. dr hab. W. Nowak
Bibliografia
  • 1. Marinella MA: Umbilical Complications of Malignancy.
  • J Gastrointest Cancer 2008; 39(1-4): 37-41.
  • 2. Ibrahim WA, Noubar K, Genato R et al.: Umbilical metastasis of unknown primary presenting as umbilical hernia: a case report Pathology and Laboratory Medicine International 2010; 2: 127-29.
  • 3. Tsuruya K, Matsushima M, Nakajima T et al.: Malignant peritoneal mesothelioma presenting umbilical hernia and Sister Mary Joseph’s nodule. World J Gastrointest Endosc 2013; 5(8): 407-11.[Crossref]
  • 4. Crescentini F, Deutsch F, Walter Sobrado C, de Araújo S: Umbilical mass as the sole presenting symptom of pancreatic cancer: a case report. Rev Hosp Clín Fac Med S. Paulo 2004; 59(4):198-202.[Crossref]
  • 5. Millar RC, Geelhoed GW, Ketcham AS: Ovarian cancer presenting as umbilical hernia. J Surg Oncol 1975; 7: 493-96.[Crossref][PubMed]
  • 6. Bender E, Schmidt S: Malignancies Presenting with Incarcerated Umbilical Hernia: A Case Report. The Internet J Surg 2001;3(2): 127-29.
  • 7. Rutkow IM, Robbins AW: Demographic, classificatory and socioeconomic aspects of hernia repair in the United States. Surg Clin North Am 1993; 73: 413-26.
  • 8. Dabbas N, Adams K, Pearson K, Royale GT: Frequency of abdominal wall hernias: is classical teaching out of date? JRSM Short Rep 2011 19; 2(1): 1-5.
  • 9. Mbuagbaw LC, Morfaw FL: Gravid uterus in an umbilical hernia. Case Rep Obstet Gynecol 2012; 12: 439-89.
  • 10. Bender E, Schmidt S: Malignancies Presenting with Incarcerated Umbilical Hernia: A Case Report. The Internet J Surg 2001; 3(2): 23-29.
  • 11. Chan MY, Ng BK: Intrahernial tumour - a case report. Singapore Med J 1994; 35: 646-47.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_pjs-2014-0034
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