Neuroendocrine tumor of appendix located Spiegel hernia – case report and review of the literature

• Authors: Furkan Karahan , Arif Atay , Neşe Ekinci , Emine Özlem Gür , Osman Nuri Dilek

Abstracts

EN

Introduction. Appendix, located within the Spiegel hernia is a rare condition. Few cases have been reported to date. Although it is generally asymptomatic, patients can apply with strangulation findings. Along with the physical examination findings, imaging methods play an important role in diagnosis and definitive diagnosis is made intraoperatively. Per-operative surgical method is determined according to the condition of the structures in the hernia sac. If an appendix is detected in the hernia sac, appendectomy is often preferred regardless of symptoms. Postoperative pathology is mostly benign but malign appendix pathologies should be kept in mind. Aim. Here, we aimed to present our case undergoing emergency surgery due to incarcerated hernia as it is the first case of appendix neuroendocrine tumor in the Spiegel hernia sac according to our literature review. Description of the case. A 77-year-old female patient who was admitted to the hospital with complaints of nausea and vomiting was evaluated as an emergency. In the clinical evaluation of the patient, we detected ileus due to hernia. We operated on the patient and found the appendix and cecum in the spiegel hernia. We did appendectomy and hernia repair. Histopathological examination of the appendix revealed a well-differentiated neuroendocrine tumor. Conclusion. Detection of the appendix in a Spiegel hernia is a rare condition. This is the first case of appendiceal malignancy in a Spiegelian hernia.

Keywords

EN

appendix; carcinoid tumor; hernia; neuroendocrine tumor; Spiegel

• Publisher: Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
• Journal: European Journal of Clinical and Experimental Medicine
• Year: 2021
• Issue: 3
• Pages: 270-272

Dates

published

2021

Contributors

author

Furkan Karahan

• Department of General Surgery, IKCU Ataturk Training and Research Hospital, İzmir, Turkey

author

Arif Atay

• Department of General Surgery, IKCU Ataturk Training and Research Hospital, İzmir, Turkey

author

Neşe Ekinci

• Department of Medical Pathology, IKCU Ataturk Training and Research Hospital, İzmir, Turkey

author

Emine Özlem Gür

• Department of General Surgery, IKCU Ataturk Training and Research Hospital, İzmir, Turkey

author

Osman Nuri Dilek

• Department of General Surgery, IKCU Ataturk Training and Research Hospital, İzmir, Turkey

Identifiers

DOI

10.15584/ejcem.2021.3.12

Biblioteka Nauki

2040191