Ileocecal mucinous carcinoma misdiagnosed as incarcerated hernia: A case report

Mucinous carcinoma is a rare clinical disease. Although well described in the literature, a mucinous carcinoma diagnosis is often difficult due to its atypical clinical presentation. We report a female patient with a right inguinal mass and ileocecal myxo carcinoma who was misdiagnosed as having a r...

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Main Authors: Ji Xiang, Wang Meng, Zhao Aihong, Ding Jian, Zhang Yunjie
Format: Article
Language:English
Published: De Gruyter 2024-12-01
Series:Open Life Sciences
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Online Access:https://doi.org/10.1515/biol-2022-1002
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author Ji Xiang
Wang Meng
Zhao Aihong
Ding Jian
Zhang Yunjie
author_facet Ji Xiang
Wang Meng
Zhao Aihong
Ding Jian
Zhang Yunjie
author_sort Ji Xiang
collection DOAJ
description Mucinous carcinoma is a rare clinical disease. Although well described in the literature, a mucinous carcinoma diagnosis is often difficult due to its atypical clinical presentation. We report a female patient with a right inguinal mass and ileocecal myxo carcinoma who was misdiagnosed as having a right incarcerated inguinal hernia invading the peritoneum incarcerated inguinal hernia and ileocecal myxo carcinoma. Intraoperative exploration of the mucous material occupying the patient’s right lower abdominal cavity and exclusion of right inguinal incarcerated hernia revealed the misdiagnosis. The first clinical manifestations of ileocecal mucinous carcinoma are often not readily apparent and may be misdiagnosed as an incarcerated inguinal hernia. When a color ultrasonography suggests an incarcerated inguinal hernia, an abdominal CT should be considered, and an enhanced CT should be performed as needed to observe the abdominal cavity. Ileocecal mucinous carcinoma should also be distinguished from other diseases with similar clinical manifestations. The patient had received conservative treatment for acute appendicitis, and it is recommended to conduct a B-ultrasound, CT, and other reviews after surgery. Clinicians should be aware of missed surgical opportunities following appendicitis caused by mucinous adenoma.
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spelling doaj-art-00d151ff92844c3da24e5a1f08536b822025-08-20T02:51:59ZengDe GruyterOpen Life Sciences2391-54122024-12-01191p. 217810.1515/biol-2022-1002Ileocecal mucinous carcinoma misdiagnosed as incarcerated hernia: A case reportJi Xiang0Wang Meng1Zhao Aihong2Ding Jian3Zhang Yunjie4First Clinical Medical College, Shandong University of Traditional Chinese Medicine, 16369 Jingshi Road, Jinan City, Shandong Province, ChinaDepartment of General Surgery, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, 16369 Jingshi Road, Jinan, Shandong, ChinaDepartment of General Surgery, Linyi Traditional Chinese Medicine Hospital, 211 Jiefang Road, Lanshan District, Linyi City, Shandong Province, ChinaDepartment of General Surgery, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, 16369 Jingshi Road, Jinan, Shandong, ChinaDepartment of General Surgery, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, 16369 Jingshi Road, Jinan, Shandong, ChinaMucinous carcinoma is a rare clinical disease. Although well described in the literature, a mucinous carcinoma diagnosis is often difficult due to its atypical clinical presentation. We report a female patient with a right inguinal mass and ileocecal myxo carcinoma who was misdiagnosed as having a right incarcerated inguinal hernia invading the peritoneum incarcerated inguinal hernia and ileocecal myxo carcinoma. Intraoperative exploration of the mucous material occupying the patient’s right lower abdominal cavity and exclusion of right inguinal incarcerated hernia revealed the misdiagnosis. The first clinical manifestations of ileocecal mucinous carcinoma are often not readily apparent and may be misdiagnosed as an incarcerated inguinal hernia. When a color ultrasonography suggests an incarcerated inguinal hernia, an abdominal CT should be considered, and an enhanced CT should be performed as needed to observe the abdominal cavity. Ileocecal mucinous carcinoma should also be distinguished from other diseases with similar clinical manifestations. The patient had received conservative treatment for acute appendicitis, and it is recommended to conduct a B-ultrasound, CT, and other reviews after surgery. Clinicians should be aware of missed surgical opportunities following appendicitis caused by mucinous adenoma.https://doi.org/10.1515/biol-2022-1002mucinous carcinomadiagnostic errorscase reportincarcerated herniaileocecal junction
spellingShingle Ji Xiang
Wang Meng
Zhao Aihong
Ding Jian
Zhang Yunjie
Ileocecal mucinous carcinoma misdiagnosed as incarcerated hernia: A case report
Open Life Sciences
mucinous carcinoma
diagnostic errors
case report
incarcerated hernia
ileocecal junction
title Ileocecal mucinous carcinoma misdiagnosed as incarcerated hernia: A case report
title_full Ileocecal mucinous carcinoma misdiagnosed as incarcerated hernia: A case report
title_fullStr Ileocecal mucinous carcinoma misdiagnosed as incarcerated hernia: A case report
title_full_unstemmed Ileocecal mucinous carcinoma misdiagnosed as incarcerated hernia: A case report
title_short Ileocecal mucinous carcinoma misdiagnosed as incarcerated hernia: A case report
title_sort ileocecal mucinous carcinoma misdiagnosed as incarcerated hernia a case report
topic mucinous carcinoma
diagnostic errors
case report
incarcerated hernia
ileocecal junction
url https://doi.org/10.1515/biol-2022-1002
work_keys_str_mv AT jixiang ileocecalmucinouscarcinomamisdiagnosedasincarceratedherniaacasereport
AT wangmeng ileocecalmucinouscarcinomamisdiagnosedasincarceratedherniaacasereport
AT zhaoaihong ileocecalmucinouscarcinomamisdiagnosedasincarceratedherniaacasereport
AT dingjian ileocecalmucinouscarcinomamisdiagnosedasincarceratedherniaacasereport
AT zhangyunjie ileocecalmucinouscarcinomamisdiagnosedasincarceratedherniaacasereport