Colonic carcinoma presenting as strangulated inguinal hernia: report of two cases and review of the literature

Slater, Robert R.; Amatya, U.; Shorthouse, A. J.

doi:10.1007/s10151-008-0388-0

Cited by 30 publications

(31 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Inguinal hernias are a common surgical presentation in the elderly population with a prevalence of 6% 1. This case highlights several issues relating to emergency management of inguinal hernias in older patients.…”

Section: Discussionmentioning

confidence: 88%

Bilateral saccular inguinal hernias in an elderly woman presenting with advanced ovarian cancer

et al. 2014

View full text Add to dashboard Cite

SUMMARYWe present a case of an elderly woman presenting with bilateral groin hernias, one reducible and the other irreducible. CT of the abdomen and pelvis demonstrated an irreducible left inguinal hernia containing an incarcerated loop of transverse colon together with saccular metastatic tumour spread. Disseminated omental disease and ascitic fluid were noted throughout the peritoneal cavity secondary to ovarian carcinoma. As a consequence of extensive malignant disease and advanced age, the patient was treated conservatively and subsequently died a number of weeks later. To the best of our knowledge, this is only the second case of bilateral inguinal hernias presenting in a woman with a background of disseminated ovarian malignancy. This case highlights the importance of pre-reduction imaging in atypical complex cases. BACKGROUND

show abstract

Section: Discussionmentioning

confidence: 88%

Bilateral saccular inguinal hernias in an elderly woman presenting with advanced ovarian cancer

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Colon cancer is the most common neoplasm found within any hernia,6 and despite the prevalence of inguinal hernias in the elderly population being approximately 6%,6 dual presentations remain rare. As such, there is no agreed-upon approach to dealing with this condition, with a variety of laparoscopic and open techniques having been trialled 1 3–5…”

Section: Discussionmentioning

confidence: 99%

Inguinoscrotal herniation of a caecal adenocarcinoma

Sharma¹

2017

BMJ Case Reports

View full text Add to dashboard Cite

An 84-year-old man with multiple comorbidities presented from a residential care home with a 1-month history of asthenia and moderate abdominal pain. On examination, he was found to have an irreducible right-sided inguinoscrotal hernia. Subsequent blood tests revealed a significant anaemia (haemoglobin 48 g/L), for which he was transfused. A CT scan of the abdomen and pelvis revealed a large caecal tumour, herniating through the right inguinal canal into the scrotum. The patient underwent an elective open right hemicolectomy with inguinal hernia defect repair, from which he recovered well. He was discharged from the ward 12 days postoperatively and is awaiting outpatient follow-up.

show abstract

“…Two previous literature reviews [3,4] revealed that the sigmoid colon was involved in most cases and all patients were male. Out of 28 patients reported, only four had a cecal tumor, presenting in all cases as a right long-standing inguinal hernia that become painful or incarcerated.…”

Section: Discussionmentioning

confidence: 99%

“…In the majority of the reported cases, a laparotomic resection of the colon followed a traditional inguinal repair through two separate incisions [2,4]. In cases of perforation or occlusion, most authors performed a colonic resection through the inguinal incision to prevent the peritoneal cavity from contamination and completed the operation via a midline laparotomy [3,5]. Other authors described a transverse left iliac fossa incision for a sigmoid cancer incarcerated into a left inguinal hernia [6].…”

Section: Discussionmentioning

confidence: 99%

“…Intrasaccular tumors are primary tumors of abdominal organs (for example, colonic cancer) contained within the inguinal sac. Intrasaccular tumors are rarer and the most commonly reported site is the left inguinal hernia containing a sigmoid cancer [2,3]. The treatment of this rare condition is not standardized and the correct surgical strategy may represent a challenge for the surgeon, especially in cases of advanced tumors.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Locally advanced carcinoma of the cecum presenting as a right inguinal hernia: a case report and review of the literature

et al. 2013

View full text Add to dashboard Cite

IntroductionAn inguinal hernia is a common surgical disease in elderly patients, but an association with intra-abdominal malignancies is rare.Case presentationWe report a case of a 78-year-old Caucasian woman presenting with a right inguinal mass suspected to be an irreducible hernia. A computed tomography scan showed the presence of the cecum in her inguinal canal, with an irregular thickening of the cecal wall suggesting a neoplasm within the inguinal hernia. A colonoscopy was not completed owing to the huge involvement of the cecum into the hernia sac. A laparotomy was performed, at which time the cecum was herniated through her right inguinal canal and the cecal tumor had infiltrated her abdominal wall and femoral artery. A right inguinal incision was necessary for good vascular control and to carry out an en bloc resection of the tumor with the inguinal wall. A right colectomy was performed and the inguinal wall repaired. The postoperative course was uneventful and our patient received adjuvant radiochemotherapy.ConclusionWe describe a rare case of a locally advanced cecal tumor presenting as a right inguinal hernia. Both diagnosis and surgical treatment in elderly patients represent a challenge for the surgeon in cases of aggressive tumors as reported in this paper.

show abstract

Colonic carcinoma presenting as strangulated inguinal hernia: report of two cases and review of the literature

Cited by 30 publications

References 18 publications

Bilateral saccular inguinal hernias in an elderly woman presenting with advanced ovarian cancer

Bilateral saccular inguinal hernias in an elderly woman presenting with advanced ovarian cancer

Inguinoscrotal herniation of a caecal adenocarcinoma

Locally advanced carcinoma of the cecum presenting as a right inguinal hernia: a case report and review of the literature

Contact Info

Product

Resources

About