Omental fibroma combined with right indirect inguinal hernia masquerades as a scrotal tumor: A case report  

作　　者：Ping Zhou Chan-Hui Jin Ying Shi Guo-Qing Ma Wen-Hao Wu Yu Wang Kun Cai Wu-Feng Fan Tian-Bao Wang 

机构地区：[1]Department of Gastrointestinal Surgery,South China Hospital of Shenzhen University,Shenzhen 518000,Guangdong Province,China

出　　处：《World Journal of Clinical Cases》2024年第5期988-994,共7页世界临床病例杂志

摘　　要：BACKGROUND The most common causes of scrotal enlargement in patients include primary tumor of the scrotum,inflammation,hydrocele of the tunica vaginalis,and indirect inguinal hernia;scrotal enlargement caused by external tumors of the scrotum is rare.The patient had both a greater omentum tumor and an inguinal hernia,and the tumor protruded into the scrotum through the hernia sac,which is even rarer.Moreover,omental tumors are mostly metastatic,and primary omental fibroma is rare.CASE SUMMARY Here,we report a rare case of a 25-year-old young man with scrotal enlargement and pain for 3 months.Preoperative examination and multidisciplinary discu-ssions considered intra-abdominal tumor displacement and inguinal hernia,and intraoperative exploration confirmed that the greater omentum tumor protruded into the scrotum.Therefore,tumor resection and tension-free inguinal hernia repair were performed.The final diagnosis was benign fibroma of the greater omentum accompanied by an indirect inguinal hernia.CONCLUSION This unusual presentation of a common inguinal hernia disease illustrates the necessity of performing detailed history taking,physical examination,and imaging before surgery.

关 键 词：HERNIA Indirect inguinal hernia FIBROMA Omental tumor Scrotal tumor Greater omentum Case report 

分 类 号：R737.2[医药卫生—肿瘤]