Abstract

We describe an ovarian borderline tumour that presented as an acute deterioration in an incisional hernia secondary to intraperitoneal mucin accumulation. The differential diagnosis associated with hernial sac contents and options for opportunistic diagnosis are discussed. This case raises awareness of potential serious diagnoses that may be overlooked during emergent hernia repair.

Highlights

  • Several eponymous hernias describe the variety of organs and their pathologies that can manifest in abdominal wall hernial sacs.[1]

  • The hernial neck is a window into the peritoneal cavity that can aid the alert clinician in opportunistic diagnosis of distant intra-abdominal pathology

  • Digital examination of the skin defect revealed palpable small bowel and omentum, and a thick viscous fluid was observed to extrude from the hernial sac

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Summary

Introduction

Several eponymous hernias describe the variety of organs and their pathologies that can manifest in abdominal wall hernial sacs.[1]. Several eponymous hernias describe the variety of organs and their pathologies that can manifest in abdominal wall hernial sacs.[1] the hernial neck is a window into the peritoneal cavity that can aid the alert clinician in opportunistic diagnosis of distant intra-abdominal pathology. This case describes the diagnosis of an ovarian tumour in a patient presenting with a ruptured incisional hernia. A variety of organs and pathologies that may be encountered at hernia repair have been described including eponymous

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