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

Grossi, Ugo; Santoro, G. A.; Tagliente, Giovanni; Zanus, Giacomo

doi:10.1111/ans.16407

Cited by 4 publications

(4 citation statements)

References 5 publications

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“…The existence of colon cancer within the hernia sac is extremely rare. Only a small number of such cases have been published worldwide, with approximately 23 cases published in the last 20 years (2003-2023) [7][8][9]. In a study by Zhang et al, the majority of the lesions were located within a left inguinal hernia (75%) and the most common pathology was sigmoid cancer (82.5%) [7].…”

Section: Discussionmentioning

confidence: 99%

“…Even though this condition is extremely rare, surgeons need to be mindful that longstanding inguinoscrotal hernias may coexist with cancer in the part of the colon within the hernia sac [9]. Clinicians should be alerted when a firm mass is palpated within the hernia during the examination [9]. In addition, anemia and weight loss should alert the surgeon that a tumor might also be involved in this presentation [9].…”

Section: Discussionmentioning

confidence: 99%

“…Clinicians should be alerted when a firm mass is palpated within the hernia during the examination [9]. In addition, anemia and weight loss should alert the surgeon that a tumor might also be involved in this presentation [9]. In such cases, a thorough investigation must be performed before surgery, whenever feasible [7].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A Rare Case of Perforated Caecal Cancer Disguised as a Strangulated Right Inguinoscrotal Hernia

Tzortzis,

Grylli,

Koliakos

et al. 2024

Cureus

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A Rare Case of Perforated Caecal Cancer Disguised as a Strangulated Right Inguinoscrotal Hernia

Tzortzis,

Grylli,

Koliakos

et al. 2024

Cureus

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“…Mesenteric resection is usually performed from the inguinal side if the hernial incarceration cannot be released. Daly et al [ 22 ] performed D2 dissection from the abdominal side using open surgery, and Grossi et al [ 23 ] performed ligation of the inferior mesenteric artery and vein and mobilization of the intestinal tract using laparoscopic surgery. In our case, the course of the blood vessels in the mesentery could not be easily confirmed before the release.…”

Section: Discussionmentioning

confidence: 99%

Incomplete bowel obstruction caused by sigmoid colon cancer in an inguinal hernia: a case report

Sujino,

Gon,

Shimoda

et al. 2024

surg case rep

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Background Most colon cancers that develop in the intestinal tract within the inguinal hernia sac are identified by incarceration. However, treatment methods for these cases vary depending on the pathology. Cases showing perforation or abscess formation require emergency surgery for infection control, while cases with no infection generally involve oncological resection, with laparoscopic surgery also being an option. We encountered a case of Incomplete bowel obstruction secondary to sigmoid colon cancer within the hernial sac. We report the process leading to the selection of the treatment method and the surgical technique, along with a review of the literature. Case presentation A 79-year-old man presented to our hospital complaining of a left inguinal bulge (hernia) and pain in the same area. The patient had the hernia for more than 20 years. Using computed tomography, we diagnosed an incomplete bowel obstruction caused by a tumor of the intestinal tract within the hernial sac. Since imaging examination showed no signs of strangulation or perforation, we decided to perform elective surgery after a definitive diagnosis. After colonoscopy, we diagnosed sigmoid colon cancer with extra-serosal invasion; however, we could not insert a colorectal tube. Although we proposed sigmoid resection and temporary ileostomy, we chose the open Hartmann procedure because the patient wanted a single surgery. For the hernia, we simultaneously used the Iliopubic Tract Repair method, which does not require a mesh. Eight months after the surgery, no recurrence of cancer or hernia was observed. Conclusions We report a case of advanced sigmoid colon cancer with a long-standing inguinal hernia that later became incomplete bowel obstruction. Although previous studies have used various approaches among the available surgical methods for cancer within the hernial sac, such as inguinal incision, laparotomy, and laparoscopic surgery, most hernias are repaired during the initial surgery using a non-mesh method. For patients with inguinal hernias that have become difficult to treat, the complications of malignancy should be taken into consideration and the treatment option should be chosen according to the pathophysiology.

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Adénocarcinome du sigmoïde au sein d’une hernie inguinoscrotale géante

Aparicio López,

Cuadal Marzo,

Gascón Ferrer

et al. 2024

Journal de Chirurgie Viscérale

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

Cited by 4 publications

References 5 publications

A Rare Case of Perforated Caecal Cancer Disguised as a Strangulated Right Inguinoscrotal Hernia

A Rare Case of Perforated Caecal Cancer Disguised as a Strangulated Right Inguinoscrotal Hernia

Incomplete bowel obstruction caused by sigmoid colon cancer in an inguinal hernia: a case report

Adénocarcinome du sigmoïde au sein d’une hernie inguinoscrotale géante

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