Sigmoid colon adenocarcinoma in a left inguinoscrotal hernia

Abstract

Inguinal hernia represents a common diagnosis in surgery and predominates in elderly male patients. Colorectal cancer is the third most prevalent cancer in Uruguay and the second cause of mortality. The diagnosis of colon adenocarcinoma in an inguinal hernia is uncommon and few cases have been reported in the literature available. Most cases are found intraoperatively in patients undergoing emergency surgery for strangulated hernia. The diagnosis, approach and surgical tactics are matter of debate.
We report a case of sigmoid colon cancer in an irreducible left inguinal hernia, diagnosed during the preoperative evaluation of inguinal hernia repair, resected by a double conventional approach.