Incidental Microscopic Finding Of Acellular Mucin In An Inguinal Hernia Sac As A Warning Sign Of Pseudomyxoma Peritonei

Abstract

Here we describe, an incidental microscopic finding of acellular mucin embedded within the wall of a grossly unremarkable hernia sac specimen in a male patient presenting clinically with an inguinal hernia. Due to its acellular nature and routine associated clinical history, the presence of microscopic mucin within the hernia sac may be easily dismissed. As the following case illustrates, the finding of acellular mucinous material in a hernia sac specimen can be associated with mucin-producing abdominal malignancy and may be an initial presentation of pseudomyxoma peritonei.