Inguinal tumorous mass – an uncommon late manifestation of chronic organized hematoma after laparoscopic transabdominal preperitoneal inguinal hernia repair: Two cases report
| Autor: | Radan Keil, Petr Chmatal |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
COH chronic organized hematoma medicine.medical_treatment Article TAPP 03 medical and health sciences 0302 clinical medicine Hematoma medicine Groin business.industry ASA American Society of Anesthesiologist Transabdominal preperitoneal inguinal hernia repair medicine.disease Hernia repair TAPP transabdominal preperitoneal inguinal hernia repair Chronic hematoma Surgery body regions Inguinal hernia surgical procedures operative medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Histopathology CEH chronic expanding hematoma Tumour Presentation (obstetrics) business Complication Rare disease |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2019.12.016 |
| Popis: | Highlights • Chronic organized hematoma is rare surgery complication, it is uncommon after laparoscopic hernia repair especially. • Two patients were re-operated on with groin tumorous mass in longer intervals after transabdominal preperitoneal inguinal hernia repair from the anterior access. • Tumorous bulk outside of postoperative scars and outside original operating space was made up of old organized hematoma. • Only removal of tumour could exclude neoplasm and ends patient’s mechanical restrictions. Background Hematoma is a common complication following inguinal hernia repair. It is usually diagnosed early after surgical procedure and is spontaneously, or after evacuation, resorbed. Chronic organized hematoma is rare surgery complication, there is no relevant article after laparoscopic hernia repair in literature. Cases presentation 62- and 54-year-old men presented a groin palpable tumorous mass several month after uncomplicated laparoscopic transabdominal preperitoneal inguinal hernia repair. Their dominant complaints were mechanical restrictions. The ultrasound showed a solid formation subcutaneously. The removal and histopathology examination confirmed a chronic organized hematoma and at the same time, this ended the patients ‘problems. Conclusion Both patients represent uncommon cases of late postoperative difficulties, uncharacteristic localization of chronic organized hematoma and the need for surgical reintervention to exclude neoplasm. |
| Databáze: | OpenAIRE |
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