Zhou P, Jin CH, Shi Y, Ma GQ, Wu WH, Wang Y, Cai K, Fan WF, Wang TB. Omental fibroma combined with right indirect inguinal hernia masquerades as a scrotal tumor: A case report. World J Clin Cases 2024; 12(5): 988-994 [PMID: 38414599 DOI: 10.12998/wjcc.v12.i5.988]
Corresponding Author of This Article
Tian-Bao Wang, MD, Chief Physician, Postdoc, Professor, Department of Gastrointestinal Surgery, South China Hospital of Shenzhen University, No. 1 Fuxin Road, Longgang District, Shenzhen 518000, Guangdong Province, China. wangtianbao1@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Feb 16, 2024; 12(5): 988-994 Published online Feb 16, 2024. doi: 10.12998/wjcc.v12.i5.988
Omental fibroma combined with right indirect inguinal hernia masquerades as a scrotal tumor: A case report
Ping Zhou, Chan-Hui Jin, Ying Shi, Guo-Qing Ma, Wen-Hao Wu, Yu Wang, Kun Cai, Wu-Feng Fan, Tian-Bao Wang
Ping Zhou, Chan-Hui Jin, Ying Shi, Guo-Qing Ma, Wen-Hao Wu, Yu Wang, Kun Cai, Wu-Feng Fan, Tian-Bao Wang, Department of Gastrointestinal Surgery, South China Hospital of Shenzhen University, Shenzhen 518000, Guangdong Province, China
Author contributions: Zhou P reviewed the literature and drafted the manuscript; Jin CH and Wang Y performed the surgery; Ma GQ and Wu WH validated the images and case data; Cai K and Fan WF examined and photographed the pathological findings; Shi Y conducted the follow-up; Wang TB conceptualized and organized the study; All authors have read and approved the final manuscript.
Informed consent statement: We have informed the patient and obtained his consent for the use of his case as an academic research case report. We promise not to use it for commercial purposes and to protect the patient's privacy.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read CARE Checklist (2016), and the manuscript was prepared and revised according to CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tian-Bao Wang, MD, Chief Physician, Postdoc, Professor, Department of Gastrointestinal Surgery, South China Hospital of Shenzhen University, No. 1 Fuxin Road, Longgang District, Shenzhen 518000, Guangdong Province, China. wangtianbao1@163.com
Received: September 22, 2023 Peer-review started: September 22, 2023 First decision: November 13, 2023 Revised: December 11, 2023 Accepted: January 22, 2024 Article in press: January 22, 2024 Published online: February 16, 2024
Abstract
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 discussions 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.
Core Tip: Intrascrotal tumors are common male reproductive system-related tumors and are mostly primary tumors. In this case, the tumor in the scrotum of the patient was not a primary tumor of the scrotum or a metastatic lesion of other tumors. Instead, a primary lesion of the greater omentum fibroma in the abdominal cavity was completely displaced to the scrotum, which is a rare occurrence. We searched the studies included in PubMed since 2011 and found four similar reports of fibromas herniating into the scrotum, originating from the greater omentum, mesentery, and appendix. Analysis showed that the patients’ tumor activity was high, and all patients also had an inguinal hernia, which was the basis of the disease. This case reminds us that even the most common diseases may have various unexpected situations, and it is necessary to conduct detailed inquiries and physical examinations on the patient and complete relevant preoperative examinations and tests to avoid misdiagnosis. When the patient's condition is complex, multidisciplinary joint diagnosis and treatment are needed to choose the most suitable treatment method.
