Background: Spontaneous clostridium septicum infections are rare and are associated with a high mortality. Association of clostridium infection with colorectal malignancies have been previously reported and most cases are described in tumours of the ascending colon. We report our experience of clostridium septicum infection in the presence of tumour perforation in a series of two patients as a reminder of its association with sepsis in the presence of colorectal malignancy.

Laparoscopic hernia repair is suitable for day-case surgery for unilateral, bilateral, and recurrent herniae. TAPP repair allows inspection of the contralateral groin, with repair of defects as necessary.