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Research Article Open access CC BY 4.0

Metastatic Sigmoid Colon Cancer Presented as Incarcerated Inguinal Hernia – Case Report

Jurij Janež, Milena Taskovska

International Journal of Medical and Pharmaceutical Case Reports · pp. 1–5 · Published 1 Jul 2017

10.9734/IJMPCR/2017/34210

Abstract

Inguinal hernia containing metastases of intestinal adenocarcinoma is a rare finding. Metastases of sigmoid colon adenocarcinoma are most commonly found inside the hernia sac. Older males are more often affected. A 84-years old male patient  presented with pain in the right groin, highly suspicious to be an incarcerated right inguinal hernia. During emergency operation we found mesenteric metastases of the small intestine, that was incarcerated inside the inguinal hernia sac. Histopathological result of biopsy has shown metastasis of intestinal type adenocarcinoma. Additional diagnostics has shown sigmoid colon adenocarcinoma, peritoneal carcinosis and liver metastases. Primary tumor was locally advanced and un resectable, groin hernia was repaired using Bassini technique and diverting colostomy was performed. Due to advanced metastatic disease, symptomatic treatment was advised. In patients presenting with groin hernia, when suspected malignant lesion is found within hernia sac, histopathologic verification of the lesion is needed. Further diagnostics is also indicated for the definition of the primary tumor.

Adenocarcinoma carcinoma sigmoid colon groin inguinal hernia

References (10)

  1. 1 A study of metastatic cancer found during inguinal hernia repair [DOI]
  2. 2 [Carcinoma of the sigmoid colon in an incarcerated inguinal hernia].
  3. 3 Malignant epithelial tumors observed in hernia sacs [DOI]
  4. 4 Sigmoid Carcinoma in an Inguinal Hernia: A Blessing in Disguise? [DOI]
  5. 5 Metastatic malignant gastrointestinal stromal tumor mimicking a right incarcerated inguinal hernia [DOI]
  6. 6 Intrasaccular caecal adenocarcinoma presenting as enlarging right inguinoscrotal hernia [DOI]
  7. 7 Incidental finding of a malignant tumour in an inguinal hernia sac [DOI]
  8. 8 Obstructed small bowel ruptured toward the inguinal canal resulting from metastatic colon carcinoma in an irreducible, recurrent inguinal hernia with mesh-plug repair: Report of a case [DOI]
  9. 9 Bilateral saccular inguinal hernias in an elderly woman presenting with advanced ovarian cancer [DOI]
  10. 10 Metastatic Carcinoma in Inguinal Hernia Sac [DOI]

Cited by 3

Small cell neuroendocrine carcinoma presenting as inguinal hernia: A case report

Erina Quinn, Natalie Miller, James Capanegro · Annals of Medicine & Surgery · 2021

Necrotizing abdominal process masquerading as a ruptured strangulated inguinal hernia

Robert Phan · ANZ Journal of Surgery · 2019

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