Complete colonic obstruction caused by a sigmoid colon cancer incarcerated in an inguinal hernia sac.
An 85-year-old man with a clinical and x-ray picture consistent with a large bowel obstruction had a large left inguinal hernia with an incarcerated loop of sigmoid colon containing a small annular constricting colon carcinoma. Colonic obstruction due to inguinal hernia alone is so rare that a thorough evaluation should be done preoperatively in any patient believed to have colonic obstruction due to inguinal hernia.
Hale
D A
DA
Colon and Rectal Surgery Section, General Surgery Service, Walter Reed Army Medical Center, Washington, DC.
Solla
J A
JA
D000368:Aged; D000369:Aged, 80 and over; D006552:Hernia, Inguinal / Q000150:complications*; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D012811:Sigmoid Neoplasms / Q000150:complications* / Q000175:diagnosis