Small cell neuroendocrine carcinoma presenting as inguinal hernia: A case report

Abstract

Introduction One of the most common surgical procedures performed annually is inguinal hernia repair. Inguinal hernias are traditionally known to be caused by a weakening in the abdominal wall and precipitated by increased intraabdominal pressure. Recently, intra-abdominal cancer producing the increased intraabdominal pressure, along with metastasis directly into the inguinal canal, have been identified in more studies as causes of inguinal hernias. Presentation of case This case focuses on a unique presentation of small-cell neuroendocrine carcinoma presenting as an inguinal hernia. Discussion This patient s rapid demise and advanced metastatic disease upon presentation is alarming, but his advanced disease process presenting as a routine inguinal hernia is noteworthy. Upon literature analysis, the number of advanced disease processes – most notably cancer – presenting as hernias is significant. Conclusion This case emphasis the importance of perioperative screening, and presents the question, should hernias indicate further workup in the appropriate, at-risk patient populations.