Fecally Loaded Inguinoscrotal Hernia Masquerading as Testicular Mass

Mesenteric Side Perforation of Strangulated Sigmoid Colon Within A Left Inguinal Hernia: An Uncommon Case

“…Morgan RD et al [9] reported a case of sigmod colon incarceration and perforation in a hernias similar to our case; however, the fecal fluid flows into the hernia to fill the scrotum. As reported in the cases of Morgan et al and Tuffnel et al [8,9], the perforated sigmoid colon in the hernia sac results in Intraperitoneal contamination.…”

“…Morgan RD et al [9] reported a case of sigmod colon incarceration and perforation in a hernias similar to our case; however, the fecal fluid flows into the hernia to fill the scrotum. As reported in the cases of Morgan et al and Tuffnel et al [8,9], the perforated sigmoid colon in the hernia sac results in Intraperitoneal contamination. As in De Viries L et al [10] case, In an elderly and immuno-pressive patient, sigmoid diverticulum in the hernia sac can be perforated and may lead to subcutaneous emphysema in the inguinal region.…”

“…As in De Viries L et al [10] case, In an elderly and immuno-pressive patient, sigmoid diverticulum in the hernia sac can be perforated and may lead to subcutaneous emphysema in the inguinal region. Anyway, almost all cases reported in the literature are elderly patients and have additional diseases [8][9][10]. What makes our case interesting is that the colon perforation was on the mesenteric side and the preoperative graphs showed only air-observed in the abdomen without free liquids.…”