Perforated sigmoid colon cancer presenting as an incarcerated inguinal hernia: A case report

Sabra, Hassan; Alimoradi, Mersad; El-Helou, Etienne; Azaki, Rawan; Khairallah, Maysaloun; Kfoury, Tony

doi:10.1016/j.ijscr.2020.05.067

Cited by 10 publications

(15 citation statements)

References 12 publications

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“…Inguinal hernia is the most common external abdominal hernia, occurring in 1–5% of the population. Twenty million inguinal hernia repairs are completed annually worldwide ( 1 ). The combination of colorectal cancer and inguinal hernia is very rare.…”

Section: Discussionmentioning

confidence: 99%

“…However, in most of the cases, there was tumor perforation, and the postoperative pathology indicated late tumor stages (T3 or T4). Therefore, R0 resection is particularly important to reduce tumor recurrence, and combined incisions are more convenient for surgery ( 1 , 2 ). The Hartmann procedure is preferred in order to avoid complications such as anastomotic leakage and abdominal infection because most patients exhibit intestinal obstruction, perforation, and other high-risk conditions ( 15 ).…”

Section: Discussionmentioning

confidence: 99%

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Sigmoid Colon Cancer Masquerading as a Right Incarcerated Inguinal Hernia: A Case Study and Literature Review

Zhang

Tang

et al. 2022

Front. Surg.

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BackgroundIndirect inguinal hernia and sigmoid colon cancer are both common diseases, but carcinoma within the hernia sac is rare. We present a case of sigmoid colon cancer masquerading as a right incarcerated inguinal hernia. Since such a presentation is rare, and the correct diagnosis is usually made intraoperatively, there is still no consensus on the best treatment modality for such patients.Case PresentationA 70-year-old man presented to our hospital on September 20, 2020, with a right inguinal mass that had been painful for half a month, accompanied by symptoms of difficult defecation. The bulge was originally found at least 60 years before admission. There was no pain at the time; however, the mass enlarged progressively during the last 3 years. The right scrotum and groin area were obviously enlarged (~20 × 20 cm) and tender. Inside the scrotum, a circumscribed medium-hard mass (diameter 5 cm) that was palpable, with ill-defined borders and translational mobility was detected. The computed tomography (CT) scan showed a right blood vessel-containing strangulated inguinal hernia; the sigmoid colon showed focal wall thickening as it was in proximity to the inguinal hernia. Based on the biopsy results, a pathologic diagnosis of high-grade intraepithelial neoplasia was made. The preliminary diagnosis was that of sigmoid carcinoma and right incarcerated inguinal hernia. Emergency laparoscopic exploration, open sigmoid radical resection andright inguinal hernia repair were performed under general anesthesia. The patient recovered successfully and was discharged 1 week after the operation. One month after surgery, no discomfort and signs of recurrence were found.ConclusionsThe combination of colorectal cancer and inguinal hernia is uncommon, and detailed preoperative physical examination and imaging studies may contribute to the establishment of a correct diagnosis. The selection of appropriate surgical methods ensures good therapeutic results.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Sigmoid Colon Cancer Masquerading as a Right Incarcerated Inguinal Hernia: A Case Study and Literature Review

Zhang

Tang

et al. 2022

Front. Surg.

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“…The clinical presentation directs the most appropriate management. From a review of all cases reported in the last 30 years, a Hartmann's procedure was required in almost 50% of cases due to perforation or strangulation (in one case incarceration) of the hernia content 1,2,4 …”

Section: Figurementioning

confidence: 99%

“…Colon cancer incarcerated into an inguinal hernia is extremely rare as only 41 cases have been reported since 1938. [1][2][3][4] There is a distinctly high male to female predominance, with only one case described in a woman. 1 All colonic segments can be entrapped in the hernial sac.…”

mentioning

confidence: 99%

“…From a review of all cases reported in the last 30 years, a Hartmann's procedure was required in almost 50% of cases due to perforation or strangulation (in one case incarceration) of the hernia content. 1,2,4 Hernioplasty concomitantly performed with bowel resection has not been related to an augmented morbidity risk. In noncomplicated patients, a totally laparoscopic approach (so far described in only three cases) 1 can be attempted, with concomitant trans-abdominal preperitoneal hernioplasty.…”

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confidence: 99%

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Sigmoid colon adenocarcinoma incarcerated in an inguinoscrotal hernia: diagnostic and management challenges

Grossi

Santoro

Tagliente

et al. 2020

ANZ Journal of Surgery

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Sigmoid colon cancer presenting as a left inguinal hernia: a case report

Al Mohtasib,

Emar,

Al-jabari

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction: Inguinal hernias are common and typically include a portion of abdominal organs. However, there have been reports of additional peculiar content. Case presentation: The authors present the case of a 68-year-old man with sigmoid colon cancer presenting as a left inguinal hernia. Discussion: Colorectal cancer is a unique component that can be identified within inguinal hernias and is a prevalent problem among affected individuals because such a presentation is unusual. Conclusion: Surgeons should be aware of this risk when operating on inguinal hernias in order to prevent ineffective care. The best course of action may be appropriate exploration and oncological excision when underlying colon cancer is suspected after a hernial procedure.

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Perforated sigmoid colon cancer presenting as an incarcerated inguinal hernia: A case report

Cited by 10 publications

References 12 publications

Sigmoid Colon Cancer Masquerading as a Right Incarcerated Inguinal Hernia: A Case Study and Literature Review

Sigmoid Colon Cancer Masquerading as a Right Incarcerated Inguinal Hernia: A Case Study and Literature Review

Sigmoid colon adenocarcinoma incarcerated in an inguinoscrotal hernia: diagnostic and management challenges

Sigmoid colon cancer presenting as a left inguinal hernia: a case report

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