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.
Colon and Rectal Surgery Section, General Surgery Service, Walter Reed Army Medical Center, Washington, DC.
D A
DA
Hale
J A
JA
Solla
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