title: An Incarcerated Colon Inguinal Hernia That Perforated into the Scrotum and Exhibited an Air-Fluid Level.
abstract: There are few reports of a transverse colon inguinal hernia; furthermore, an inguinal hernia perforating the scrotum is rare. Here we report the case of a 79-year-old man who died after developing an incarcerated colon inguinal hernia that perforated the scrotum and exhibited an air-fluid level. The patient was referred to our hospital in November 2011 with a complaint of inability to move. Physical examination revealed an abnormally enlarged left scrotum and cold extremities. He reported a history of gastric cancer that was surgically treated more than 30 years ago. His white blood cell count and C-reactive protein level were elevated. Abdominal and inguinal computed tomography revealed that his transverse colon was incarcerated in the left inguinal canal. Free air and air-fluid level were observed around the transverse colon, suggestive of a perforation. The patient and his family refused any surgical intervention; therefore, he was treated with sultamicillin tosilate hydrate and cefotiam hydrochloride. However, he succumbed to panperitonitis 19 days after admission. The findings from this case indicate that the transverse colon can perforate into an inguinal hernia sac.
authors.affiliation: Department of Internal Medicine, Himeji St. Mary's Hospital, 650 Nibuno, Himeji 670-0801, Japan.
authors.forename: Seisuke
authors.identifier: 0000-0001-6835-0750
authors.initials: S
authors.lastname: Ota
authors.affiliation: Department of Internal Medicine, Himeji St. Mary's Hospital, 650 Nibuno, Himeji 670-0801, Japan.
authors.forename: Toshio
authors.initials: T
authors.lastname: Noguchi
authors.affiliation: Department of Surgery, Himeji St. Mary's Hospital, 650 Nibuno, Himeji 670-0801, Japan.
authors.forename: Tomoya
authors.initials: T
authors.lastname: Takao
authors.affiliation: Department of Radiology, Himeji St. Mary's Hospital, 650 Nibuno, Himeji 670-0801, Japan.
authors.forename: Takumi
authors.initials: T
authors.lastname: Sakamoto
authors.affiliation: Department of Radiology, Himeji St. Mary's Hospital, 650 Nibuno, Himeji 670-0801, Japan.
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Kanie
authors.affiliation: Department of Radiology, Himeji St. Mary's Hospital, 650 Nibuno, Himeji 670-0801, Japan.
authors.forename: Ken-Ichi
authors.initials: K
authors.lastname: Omae
authors.affiliation: Department of Radiology, Himeji St. Mary's Hospital, 650 Nibuno, Himeji 670-0801, Japan.
authors.forename: Shunji
authors.initials: S
authors.lastname: Fujie
authors.affiliation: Department of Surgery, Himeji St. Mary's Hospital, 650 Nibuno, Himeji 670-0801, Japan.
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Kanaya
authors.affiliation: Department of Internal Medicine, Himeji St. Mary's Hospital, 650 Nibuno, Himeji 670-0801, Japan.
authors.forename: Akinori
authors.initials: A
authors.lastname: Kasahara
authors.affiliation: Department of Internal Medicine, Himeji St. Mary's Hospital, 650 Nibuno, Himeji 670-0801, Japan.
authors.forename: Tadashi
authors.initials: T
authors.lastname: Matsumra