INCARCERATED INCISIONAL HERNIA: AN UNUSUAL PRESENTATION OF LIPOSARCOMA MYXOIDES METASTATICUM
Date Issued
2025-09
Author(s)
Frosina Jovanovska
Bisera Popovska
Svetlana Jovevska
Abstract
Abdominal wall hernia is a common condition seen in the clinical practice of surgery.
Soft tissue sarcomas are rare neoplasms, representing less than 1% of tumors in
adults. However, recurrent liposarcoma reason for incarcerated incisional are rare
and there are limited studies on this subject. We report a case of a 43-year-old
female who presented with generalized abdominal pain and vomiting. She was
treated for an incarcerated incisional hernia and underwent an exploratory
laparotomy, which showed a multiseptated incisional hernia sac, with small bowel
loops and the presence of recurrent liposarcoma in the mesentery. Desincarceration
with maximal adhesiolysis and total extirpation of the recurrent liposarcoma and
abdominal wall hernioplasty were performed. Contrast-enhanced CT is the first-line
investigation, complete surgical excision remains the gold standard treatment for
primary and even recurrent tumors. Prognosis depends on the histological type and
grade. Histopathological examination revealed a liposarcoma myxoides
metastaticum. The patient had surgeries for liposarcoma three and one years ago,
and appropriate oncological treatment. The operative and postoperative course were
uneventful. Postoperatively, she continued with oncological treatment. Follow-up
after 6 months remains clean and is ongoing. Conclusion: Liposarcomas are
aggressive malignant tumors with frequent recurrences.
Soft tissue sarcomas are rare neoplasms, representing less than 1% of tumors in
adults. However, recurrent liposarcoma reason for incarcerated incisional are rare
and there are limited studies on this subject. We report a case of a 43-year-old
female who presented with generalized abdominal pain and vomiting. She was
treated for an incarcerated incisional hernia and underwent an exploratory
laparotomy, which showed a multiseptated incisional hernia sac, with small bowel
loops and the presence of recurrent liposarcoma in the mesentery. Desincarceration
with maximal adhesiolysis and total extirpation of the recurrent liposarcoma and
abdominal wall hernioplasty were performed. Contrast-enhanced CT is the first-line
investigation, complete surgical excision remains the gold standard treatment for
primary and even recurrent tumors. Prognosis depends on the histological type and
grade. Histopathological examination revealed a liposarcoma myxoides
metastaticum. The patient had surgeries for liposarcoma three and one years ago,
and appropriate oncological treatment. The operative and postoperative course were
uneventful. Postoperatively, she continued with oncological treatment. Follow-up
after 6 months remains clean and is ongoing. Conclusion: Liposarcomas are
aggressive malignant tumors with frequent recurrences.
File(s)![Thumbnail Image]()
Loading...
Name
INCARCERATED INCISIONAL HERNIA AN UNUSUAL PRESENTATION OF.pdf
Size
1.88 MB
Format
Adobe PDF
Checksum
(MD5):f1937e9804bc04e4e517f253c6d235c3