J Korean Med Sci.  2009 Jun;24(3):539-541. 10.3346/jkms.2009.24.3.539.

Giant Ovarian Tumor Presenting as an Incarcerated Umbilical Hernia: A Case Report

• Karabulut
• Aydin O
• Onur E
• Celik NY
• Moray G

• KMID: 1779180
• DOI: http://doi.org/10.3346/jkms.2009.24.3.539

Abstract

We report a rare case of a giant ovarian tumor presenting as an incarcerated umbilical hernia. A 61-yr-old woman was admitted to the hospital with severe abdominal pain, an umbilical mass, nausea and vomiting. On examination, a large, irreducible umbilical hernia was found. The woman underwent an urgent operation for a possible strangulated hernia. A large, multilocular tumor was found. The tumor was excised, and a total abdominal hysterectomy and bilateral salphingo-oophorectomy were performed. The woman was discharged 6 days after her admission. This is the first report of incarcerated umbilical hernia containing a giant ovarian tumor within the sac.

Keyword

Granulosa Cell Tumor; Hernia, Umbilical; Surgery

MeSH Terms

Diagnosis, Differential
Female
Granulosa Cell Tumor/*diagnosis/pathology/surgery
Hernia, Umbilical/diagnosis/*etiology/surgery
Humans
Middle Aged
Ovarian Neoplasms/*diagnosis/pathology/surgery

Figure

• 

  Fig. 1 Intraoperative image of the giant ovarian tumor in the hernial sac.

• 

  Fig. 2 The resected tumor was multilocular, measured 25×23×16 cm, and weighed 3,680 g.

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  Fig. 3 Uniform neoplastic cells with eosinophilic cytoplasm and pale oval nuclei with prominent grooves forming a diffuse pattern were characteristic features for a granulosa cell tumor (A). The neoplastic cells displayed strong immunoreactivity for inhibin confirming a sex-cord stromal origin (B).

Reference

1. Uludag M, Yetkin G, Demirel M, Citgez B, Isgor A. Incarceration of umbilical hernia during pregnancy due to a sessile fibroid. Hernia. 2006. 10:357–359.

2. Schumer ST, Cannistra SA. Granulosa cell tumor of the ovary. J Clin Oncol. 2003. 21:1180–1189.

3. Daoud FS. Incarcerated endometriotic ovarian cyst within paraumbilical hernia. J Obstet Gynaecol. 2005. 25:828–829.

4. Millar RC, Geelhoed GW, Ketcham AS. Ovarian cancer presenting as umbilical hernia. J Surg Oncol. 1975. 7:493–496.

5. Wong C. A uterine fibroid presenting as an incarcerated umbilical hernia during pregnancy. Hernia. 2005. 9:298–299.