title: An irreducible left scrotal hernia containing a sigmoid colon tumor (adenocarcinoma) - Case report.
abstract: BACKGROUND
  In relation to all inguinal hernias, large irreducible scrotal hernias are quite rare, while such hernias containing colon tumors in the sac have so far been described in fewer than 30 cases.
  
  
  METHODS
  A 61-year-old patient was admitted for a planned surgery because of a large irreducible left-sided scrotal hernia. Intraoperatively, a large tumor of the sigmoid colon was found in the hernial sac. In a histopathological examination it was diagnosed as adenocarcinoma. A palliative operation was performed and he was referred to further systemic and palliative treatment (because of numerous coexisting liver metastases).
  
  
  CONCLUSIONS
  Until now, only about 30 cases of colon tumor in inguinal hernia sac have been reported.
  
  
  CONCLUSIONS
  It should be remembered that even the most obvious preoperative diagnosis may be verified intraoperatively.
authors.affiliation: Hospital Medical Center in Goleniow, Surgery Department, str. Nowogardzka 2, 72-100 Goleniow, Poland. Electronic address: sq1euo@gmail.com.
authors.forename: Jarosław
authors.initials: J
authors.lastname: Gnaś
authors.affiliation: Hospital Medical Center in Goleniow, Gynecological and Obstetric Department, str. Nowogardzka 2, 72-100 Goleniow, Poland.
authors.forename: Marek
authors.initials: M
authors.lastname: Bulsa
authors.affiliation: Independent Public Specialist Health Care "ZDROJE", Pediatrics, Gastroenterology and Rheumatology Department, str. Wojciecha 7, 70-410 Szczecin, Poland.
authors.forename: Grażyna
authors.initials: G
authors.lastname: Czaja-Bulsa
keywords: Adenocarcinoma; Hernia; Inguinal; Scrotal; Sigmoid