Case Report


Intestinal obstruction, pneumoperitoneum, and colon carcinoma within an inguinoscrotal hernia

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1 PhD, Medical Area Specialist in General Surgery, Department of General Surgery, Hospital El Escorial, Francisco de Vitoria University (UFV), San Lorenzo de El Escorial, Madrid, Spain

2 PhD, Chief of Department, Department of General Surgery, Hospital El Escorial, Francisco de Vitoria University (UFV), San Lorenzo de El Escorial, Madrid, Spain

3 MD, Medical Area Specialist in General Surgery, Department of General Surgery, Hospital El Escorial, Francisco de Vitoria University (UFV), San Lorenzo de El Escorial, Madrid, Spain

Address correspondence to:

Sonia Morales Artero

Hospital El Escorial, Road M-600 Guadarrama to San Lorenzo de El Escorial, Km 6.255, 28200 San Lorenzo de El Escorial, Madrid,

Spain

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Article ID: 100055S05MC2021

doi: 10.5348/100055S05MC2021CR

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How to cite this article

de Castro M, Larraz E, Morales S, Cereceda P, Martin L, Calvo M. Intestinal obstruction, pneumoperitoneum, and colon carcinoma within an inguinoscrotal hernia. Edorium J Surg 2021;8:100055S05MC2021.

ABSTRACT


Introduction: Inguinal hernias with neoplastic contents in the sac are extremely rare.

Case Report: We present a case of intestinal obstruction due to a sigmoid colon carcinoma hosted in an incarcerated left inguinal hernia, with cecum perforation. The computed tomography (CT) scan demonstrated pneumoperitoneum. Surgical treatment consisted in subtotal colectomy with protective ileostomy.

Conclusion: Complicated colon neoplasms included in hernia sacs require tailored treatment, depending on the patient’s condition and related morbidity.

Keywords: Colon carcinoma, Inguinal hernia, Intestinal obstruction, Pneumoperitoneum, Strangulation

SUPPORTING INFORMATION


Author Contributions:

Mar de Castro - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Elena Larraz - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published

Sonia Morales Artero - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published

Pablo Cereceda - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published

Libertad Martin - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Montserrat Calvo - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2021 Mar de Castro et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.