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Case Reports
. 2012 Sep 21:2012:bcr0220125788.
doi: 10.1136/bcr.02.2012.5788.

A laparoscopic high anterior resection for sigmoid cancer with extraction through incarcerated left inguinal hernia repaired with Permacol mesh

William Reginald Joseph Carr  1 , Graham O'Dair
Affiliations
Case Reports

A laparoscopic high anterior resection for sigmoid cancer with extraction through incarcerated left inguinal hernia repaired with Permacol mesh

William Reginald Joseph Carr et al. BMJ Case Rep. .

Abstract

A 65-year-old man presented to the general surgical outpatients with an incarcerated left inguinal hernia. Initial investigations revealed an iron deficiency anaemia that was investigated with a colonoscopy and gastroscopy. This revealed a sigmoid cancer and the staging CT scan confirmed a tumour incarcerated in the sac of the left inguinal hernia. We proceeded with a laparoscopic high anterior resection using the inguinal hernia as the extraction site. The hernia was repaired using Permacol mesh. No postoperative complications occurred.

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Figures

Figure 1
Figure 1
Preoperative CT scan showing sigmoid tumour at the neck of inguinal hernia.
Figure 2
Figure 2
Preoperative CT scan showing the size of left inguinal hernia.
Figure 3
Figure 3
Postoperative CT at 1 year showing a repaired left inguinal hernia.
Figure 4
Figure 4
Postoperative wounds prior to discharge.
See this image and copyright information in PMC

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