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Peritoneal colon cancer metastasis to bilateral inguinal hernia repair sites: report of a case

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Abstract

We report a rare case of peritoneal metastasis from colon cancer being found in the bilateral sites of inguinal hernia repair. The patient was an 85-year-old man who underwent colonoscopy for a positive fecal occult blood test, with a subsequent diagnosis of ascending colon cancer. He had undergone mesh plug repair for bilateral inguinal hernias at another hospital 6 years previously. We performed laparoscopy-assisted right hemi-colectomy and found nodes in the bilateral scars from the inguinal hernioplasty. Biopsy confirmed that both of the nodes were peritoneal metastasis, leading to the assumption that cancer cells disseminated within the abdominal cavity had been implanted at the repair sites, although the mechanism for this was unclear. A relationship between inflammation and peritoneal metastasis has been reported; thus, we speculated that local inflammation resulting from chronic stimulus of mesh plugs and peritoneal trauma caused peritoneal metastasis at the repair sites.

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Conflict of interest

Michihiro Kudou and other co-authors have no conflict interest.

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Authors and Affiliations

  1. Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine Graduate School of Medical Science, 465 Kajii-cho Hirokoji Kawaramachi, Kamigyo-ku, Kyoto, 602-8566, Japan

    Michihiro Kudou, Yasutoshi Murayama, Hirotaka Konishi, Ryo Morimura, Shuhei Komatsu, Atsushi Shiozaki, Yoshiaki Kuriu, Hisashi Ikoma, Takeshi Kubota, Masayoshi Nakanishi, Daisuke Ichikawa, Hitoshi Fujiwara, Kazuma Okamoto, Chouhei Sakakura & Eigo Otsuji

  2. Kojima Clinic, 1-1 Sugaharacho, Ikeda-shi, Osaka, 563-0055, Japan

    Osamu Kojima

Authors
  1. Michihiro Kudou
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  2. Yasutoshi Murayama
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  3. Hirotaka Konishi
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  4. Ryo Morimura
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  5. Shuhei Komatsu
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  6. Atsushi Shiozaki
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  7. Yoshiaki Kuriu
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  8. Hisashi Ikoma
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  9. Takeshi Kubota
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  10. Masayoshi Nakanishi
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  11. Daisuke Ichikawa
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  12. Hitoshi Fujiwara
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  13. Kazuma Okamoto
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  14. Chouhei Sakakura
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  15. Osamu Kojima
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  16. Eigo Otsuji
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Corresponding author

Correspondence to Yasutoshi Murayama.

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Kudou, M., Murayama, Y., Konishi, H. et al. Peritoneal colon cancer metastasis to bilateral inguinal hernia repair sites: report of a case. Surg Today 45, 1053–1057 (2015). https://doi.org/10.1007/s00595-014-1037-7

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  • DOI: https://doi.org/10.1007/s00595-014-1037-7

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