Small bowel lymphoma presenting as inguinal hernia: case report and literature review

Abstract

BackgroundInguinal hernia is one of the most common benign pathologies that primarily affects men. Primary gastrointestinal non-Hodgkin’s lymphoma (PGI NHL) is the most common type of extranodal lymphoma. This study reports a rare case in which these two conditions co-exist.Case presentationAn 85-year-old male complained of bowel movement pattern change, abdominal distension and loss of weight, without vomiting but with nausea. A computed tomographic scan of the abdomen showed a small bowel obstruction caused by a migration of a small bowel loop in the right inguinal canal, with a clinically non-reducible inguinal hernia. The patient underwent surgery. The histopathological report showed small bowel large B cell non-Hodgkin’s lymphoma.ConclusionWhen the diagnosis of the contents of an inguinal hernia is not well-established, surgery should be performed as soon as possible to ensure the cure of the disease and the correct diagnosis of the contents.

Omental mass combined with indirect inguinal hernia leads to a scrotal mass: A case report

“…Preoperative imaging examinations alone, such as US and CT examinations, to determine hernia contents are prone to misdiagnosis. Michele et al [ 10 ] reported a patient who was diagnosed with an inguinal hernia and whose preoperative CT examination findings showed that the hernia content was of the small intestine, but the postoperative pathological examination demonstrated that the hernia content included Hodgkin's lymphoma. Tajti et al [ 11 ] also reported a patient who was diagnosed with an inguinal hernia and whose preoperative US examination findings showed that the hernia content was of an edematous intestinal loop with no circulation detected, but the hernia content was found to be of the gallbladder that was incarcerated during the operation.…”