CASE REPORT article
Front. Oncol.
Sec. Surgical Oncology
This article is part of the Research TopicInnovations and Impacts of Super-Minimally Invasive Surgery Across Surgical DisciplinesView all 3 articles
Case Report: Lumbar Herniation of a Low-Grade Appendiceal Mucinous Neoplasm Mimicking a Chronic Abscess
Provisionally accepted
- The First Affiliated Hospital of China Medical University, Shenyang, China
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Low-grade appendiceal mucinous neoplasms (LAMNs) are uncommon tumors that may lead to peritoneal dissemination if not completely excised, yet they often present with nonspecific symptoms. We describe a 53‑year‑old male with a three‑year history of recurrent right lumbar "abscesses" whose contrast‑enhanced CT suggested herniation of the ileocecal region into the abdominal wall. Laparoscopic exploration revealed a superior lumbar hernia containing an enlarged appendix with surrounding purulent fluid. The patient underwent laparoscopic ileocecal resection with side‑to‑side ileocolic anastomosis and drainage. Postoperative pathology confirmed a LAMN with surrounding suppurative changes and diverticular features in the right colon. No mesh repair was performed due to active inflammation; instead, staged hernia repair was planned. The patient recovered uneventfully, with no evidence of pseudomyxoma peritonei or hernia recurrence at follow‑up. This case highlights the importance of considering appendiceal neoplasia in atypical hernias mimicking chronic abscesses, as timely recognition and complete oncologic resection are critical to prevent mucinous peritoneal spread and achieve optimal outcomes.
Keywords: Low-grade appendiceal mucinous neoplasm (LAMN), Lumbar hernia, Colonicdiverticular disease, case report, Chronic abscess
Received: 27 Jul 2025; Accepted: 15 Dec 2025.
Copyright: © 2025 Gao, Feng, Liu, Sun and Zhou. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Yefei Sun
Jianping Zhou
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