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. 2013:2013:314394.
doi: 10.1155/2013/314394. Epub 2013 Dec 5.

Sigmoid carcinoma in an inguinal hernia: a blessing in disguise?

P B Salemans  1 , G F Vles  1 , S A F Fransen  1 , R M Smeenk  1
Affiliations

Sigmoid carcinoma in an inguinal hernia: a blessing in disguise?

P B Salemans et al. Case Rep Surg. 2013.

Abstract

Colorectal cancer is a rising problem, as the incidence increases with age. In most cases the goal of treatment is oncological resection followed by adjuvant chemotherapy in order to optimize the survival. In this case report we present a 93-year-old patient with a sigmoid carcinoma inside an irreducible inguinal hernia, which was diagnosed prior to surgery. We chose to perform a sigmoid resection through an oblique inguinal incision as a safer alternative to laparotomy.

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Figures

Figure 1
Figure 1
An irreducible, nontender mass in the left groin.
Figure 2
Figure 2
Coronal CT showing herniation of colon and mesentery through the inguinal canal.
Figure 3
Figure 3
Opening of the inguinal hernia sac revealing the sigmoid colon with spotted tumour.
Figure 4
Figure 4
Restoration of the abdominal wall using a mesh according to Lichtenstein.
See this image and copyright information in PMC

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