Perforated Sigmoid Colon Cancer within an Irreducible Inguinal Hernia: a Case Report.
10.3348/kjr.2010.11.2.231
- Author:
Kai Hsiung KO
1
;
Chih Yung YU
;
Chien Chang KAO
;
Shih Hung TSAI
;
Guo Shu HUANG
;
Wei Chou CHANG
Author Information
1. Department of Radiology, Tri-Service General Hospital, National Defense Medical Center, China. chougo2002@yahoo.com.tw
- Publication Type:Case Report
- Keywords:
Perforation;
Sigmoid adenocarcinoma;
Inguinal hernia;
Computed tomography (CT)
- MeSH:
Adenocarcinoma/complications/*radiography/surgery;
Aged, 80 and over;
Colon, Sigmoid/radiography/surgery;
Diagnosis, Differential;
Fatal Outcome;
Fever/etiology;
Hernia, Inguinal/complications/*radiography/surgery;
Humans;
Intestinal Perforation/complications/*radiography/surgery;
Male;
Pain/etiology;
Shock, Septic/complications;
Sigmoid Neoplasms/complications/*radiography/surgery;
Tomography, X-Ray Computed
- From:Korean Journal of Radiology
2010;11(2):231-233
- CountryRepublic of Korea
- Language:English
-
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.
