Academy of Medical Sciences of I.R. Iran Archives of Iranian Medicine 1029-2977 27 6 2024 06 01 Metastatic Gastric Adenocarcinoma in the Inguinal Hernia Sac Diagnosed Radiologically: A Case Report 341 345 10.34172/aim.28951 EN Ahmed Said Çil https://orcid.org/0000-0001-7550-5469 İbrahim Üntan https://orcid.org/0000-0002-6958-3625 Journal Article 10.34172/aim.28951 2024 02 18 2024 03 13 Macroscopic tumor implants in the hernia sac are a very rare condition. They occur as a result of the implantation of malignant cells in the malignant ascites from the inguinal canal to the hernia sac. In this case report, we share the clinical and radiological findings of the macroscopic tumoral implants in the hernia sac at the level of the inguinal canal and scrotum in a male patient aged 65 years with a history of total gastrectomy for gastric adenocarcinoma and developing malignant ascites six months after the surgery.