Perforated Sigmoid Colon Cancer within an Irreducible Inguinal Hernia: a Case Report

다국어 초록 (Multilingual Abstract)

A perforated sigmoid colon cancer within an inguinal hernia is extremely rare. This unexpected finding is usually discovered during surgery and causes an unavoidable septic evolution. Here, we describe the case of an 84-year-old man who presented with fever, abdominal distension, and a painful, enlarged, left scrotum. A CT showed a left, incarcerated, inguinal hernia containing a perforated sigmoid adenocarcinoma (which was confirmed by histopathology). The possibility of an irreducible inguinal hernia in association with perforated sigmoid colon cancer should be considered in the array of diagnoses. A pre-operative CT scan would be helpful in facilitating an accurate diagnosis.

참고문헌 (Reference)

1 Mandava N, "Perforated colorectal carcinomas" 172 : 236-238, 1996

2 Kouraklis G, "Perforated carcinoma of the sigmoid colon in an incarcerated inguinal hernia: report of a case" 33 : 707-708, 2003

3 Tan GY, "Obstructing sigmoid cancer with local invasion in an incarcerated inguinal hernia" 73 : 80-82, 2003

4 Sakorafas GH, "Obstructing sigmoid cancer in a patient with a large, tender, non-reducible inguinal hernia: the obvious diagnosis is not always the correct one" 17 : 72-73, 2008

5 Baskin LS, "Necrotising soft tissue infections of the perineum and genitalia. Bacteriology, treatment and risk assessment" 65 : 524-529, 1990

6 Hale DA, "Complete colonic obstruction caused by a sigmoid colon cancer incarcerated in an inguinal hernia sac" 84 : 1280-1281, 1991

7 Slater R, "Colonic carcinoma presenting as strangulated inguinal hernia: report of two cases and review of the literature" 12 : 255-258, 2008

8 Boormans JL, "Carcinoma of the sigmoid presenting as a right inguinal hernia" 10 : 93-96, 2006