Open AccessPerforated sigmoid colon carcinoma in an irreducible inguinoscrotal hernia
Author(s) -
Audrey Zhen Tan,
Gregory Taylor,
Tanvir Ahmed
Publication year - 2013
Publication title -
annals of the royal college of surgeons of england
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.39
H-Index - 63
eISSN - 1478-7083
pISSN - 0035-8843
DOI - 10.1308/003588413x13629960047911
Subject(s) - medicine , sigmoid colon , inguinal hernia , hernia , colorectal cancer , colon carcinoma , general surgery , carcinoma , surgery , cancer , rectum
Inguinal (inguinoscrotal) hernia and colon cancer are common conditions. However, it is rare for primary colon cancer to exist in an inguinal hernia sac and even rarer for it to perforate. We report such an event in our patient, who had an irreducible left inguinoscrotal hernia containing a sigmoid colon carcinoma that had perforated. This clinical picture can be easily confused with hernia strangulation unless the clinician is alert to the presence of certain sinister symptoms and signs.