Sigmoid colon carcinoma-associated with an inguinal hernia.

Abstract

Introduction: Inguinal hernias are common diseases in the population, and the prevalence of colorectal cancer has increased significantly in recent decades. However, the concomitant association of these two entities is rarely described in the literature. In most cases, due to the complex diagnosis, patients are treated in emergencies with obstruction or perforation. Nowadays, there is no established consensus on the best surgical approach when this association exists. Case Presentation: We report a case of an 84-year-old patient admitted to the emergency room with a chronic inguinoscrotal hernia, with signs of intestinal obstruction, being diagnosed in the preoperative period by computed tomography, a neoplasm of the sigmoid colon incarcerated in the hernial sac. The patient underwent radical oncologic surgical treatment and inguinal herniorrhaphy through two access routes, with good postoperative evolution and outpatient follow-up after sixteen months. Conclusions: The association between CRC and inguinal hernia is unusual, but the surgeons should keep this possibility in mind because the treatment must be aimed to accomplish a safe oncologic outcome and as optimal as possible hernia repair.