Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
권호 표지
DOI QR코드

DOI QR Code

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

  • Ko, Kai-Hsiung (Department of Radiology, Tri-Service General Hospital, National Defense Medical Center) ;
  • Yu, Chih-Yung (Department of Radiology, Tri-Service General Hospital, National Defense Medical Center) ;
  • Kao, Chien-Chang (Division of Genitourinary Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center) ;
  • Tsai, Shih-Hung (Department of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center) ;
  • Huang, Guo-Shu (Department of Radiology, Tri-Service General Hospital, National Defense Medical Center) ;
  • Chang, Wei-Chou (Department of Radiology, Tri-Service General Hospital, National Defense Medical Center)
  • Received : 2009.06.03
  • Accepted : 2009.08.28
  • Published : 2010.04.01
⟨ Previous Next ⟩

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.

Keywords

References

  1. Boormans JL, Hesp WL, Teune TM, Plaisier PW. Carcinoma of the sigmoid presenting as a right inguinal hernia. Hernia 2006;10:93-96 https://doi.org/10.1007/s10029-005-0019-5
  2. Slater R, Amatya U, Shorthouse AJ. Colonic carcinoma presenting as strangulated inguinal hernia: report of two cases and review of the literature. Tech Coloproctol 2008;12:255-258 https://doi.org/10.1007/s10151-008-0388-0
  3. Tan GY, Guy RJ, Eu KW. Obstructing sigmoid cancer with local invasion in an incarcerated inguinal hernia. ANZ J Surg 2003;73:80-82 https://doi.org/10.1046/j.1445-2197.2003.02623.x
  4. Kouraklis G, Kouskos E, Glinavou A, Raftopoulos J, Karatzas G. Perforated carcinoma of the sigmoid colon in an incarcerated inguinal hernia: report of a case. Surg Today 2003;33:707-708 https://doi.org/10.1007/s00595-002-2552-5
  5. Hale DA, Solla JA. Complete colonic obstruction caused by a sigmoid colon cancer incarcerated in an inguinal hernia sac. South Med J 1991;84:1280-1281 https://doi.org/10.1097/00007611-199110000-00032
  6. Sakorafas GH, Peros G. Obstructing sigmoid cancer in a patient with a large, tender, non-reducible inguinal hernia: the obvious diagnosis is not always the correct one. Eur J Cancer Care 2008;17:72-73
  7. Mandava N, Kumar S, Pizzi WF, Aprile IJ. Perforated colorectal carcinomas. Am J Surg 1996;172:236-238 https://doi.org/10.1016/S0002-9610(96)00164-X
  8. Baskin LS, Carroll PR, Cattolica EV, McAninch JW. Necrotising soft tissue infections of the perineum and genitalia. Bacteriology, treatment and risk assessment. Br J Urol 1990;65:524-529 https://doi.org/10.1111/j.1464-410X.1990.tb14801.x

Cited by

  1. Sigmoid Carcinoma in an Inguinal Hernia: A Blessing in Disguise? vol.2013, pp.None, 2013, https://doi.org/10.1155/2013/314394
  2. Perforated sigmoid colon carcinoma in an irreducible inguinoscrotal hernia vol.95, pp.7, 2013, https://doi.org/10.1308/003588413x13629960047911
  3. Perforated carcinoma of the sigmoid colon resulting from an incarcerated inguinal hernia^|^mdash;report of a case^|^mdash; vol.74, pp.1, 2010, https://doi.org/10.3919/jjsa.74.243
  4. Laparoscopic Sigmoidectomy for Sigmoid Colon Cancer Incarcerated in an Inguinal Hernia ^|^mdash;Report of a Case^|^mdash; vol.74, pp.6, 2010, https://doi.org/10.3919/jjsa.74.1632
  5. A Case of Perforated Sigmoid Colon Cancer in an Inguinal Hernia Sac Associated with Acute Renal Failure vol.75, pp.5, 2014, https://doi.org/10.3919/jjsa.75.1365
  6. Elective laparoscopic surgery for sigmoid colon carcinoma incarcerated within an inguinal hernia: report of a case vol.44, pp.7, 2010, https://doi.org/10.1007/s00595-013-0664-8
  7. Perforated Transverse Colon Cancer Presenting as an Incarcerated Inguinal Hernia vol.82, pp.11, 2010, https://doi.org/10.1177/000313481608201112
  8. Sigmoid Colon Cancer Penetrating an Incarcerated Inguinal Hernia Sac—A Case Report— vol.77, pp.6, 2010, https://doi.org/10.3919/jjsa.77.1500
  9. A rare case of ascending colon adenocarcinoma incarcerated in an inguinoscrotal hernia: case report and literature review vol.4, pp.None, 2010, https://doi.org/10.1186/s40792-018-0457-9
  10. A Case of Perforated Sigmoid Colon Cancer within an Irreducible Inguinal Hernia vol.80, pp.2, 2010, https://doi.org/10.3919/jjsa.80.373
  11. Utility of 18F-Fluorodeoxyglucose Positron-emission Tomography/ Computed Tomography in the Detection of Primary Colonic Malignancy Presenting as an Inguinoscrotal Hernia vol.34, pp.2, 2010, https://doi.org/10.4103/ijnm.ijnm_149_18
  12. Incarcerated sigmoid colon cancer in an inguinal hernia sac associated with an abdominal wall abscess: a case report vol.5, pp.1, 2010, https://doi.org/10.1186/s40792-019-0742-2
  13. Perforated sigmoid colon cancer presenting as an incarcerated inguinal hernia: A case report vol.72, pp.None, 2010, https://doi.org/10.1016/j.ijscr.2020.05.067