Obstructing sigmoid cancer in a patient with a large, tender, non-reducible inguinal hernia: the obvious diagnosis is not always the correct one.
We present a 85-year-old patient with intestinal obstruction and a large, tender, non-reducible right inguinal hernia. He was operated with the presumed diagnosis of strangulated inguinal hernia. At surgery, a perforated obstructing sigmoid colon was diagnosed. A sigmoidectomy (Hartman procedure) and hernia repair (Bassini technique) was performed.
Sakorafas
G H
GH
4th Department of Surgery, ATTIKON University Hospital, Athens University, Medical School, Athens, Greece. georgesakorafas@yahoo.com
Peros
G
G
D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis*; D000369:Aged, 80 and over; D003951:Diagnostic Errors; D006552:Hernia, Inguinal / Q000175:diagnosis*; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D012307:Risk Factors; D012811:Sigmoid Neoplasms / Q000150:complications / Q000175:diagnosis*