Perforated Sigmoid Colon Cancer within an Irreducible Inguinal Hernia: a Case Report

被引：13

作者：

Ko, Kai-Hsiung ^{[1
]}

Yu, Chih-Yung ^{[1
]}

Kao, Chien-Chang ^{[2
]}

Tsai, Shih-Hung ^{[3
]}

Huang, Guo-Shu ^{[1
]}

Chang, Wei-Chou ^{[1
]}

机构：

[1] Triserv Gen Hosp, Dept Radiol, Natl Def Med Ctr, Taipei 114, Taiwan

[2] Triserv Gen Hosp, Div Genitourinary Surg, Natl Def Med Ctr, Dept Surg, Taipei 114, Taiwan

[3] Triserv Gen Hosp, Dept Emergency Med, Natl Def Med Ctr, Taipei 114, Taiwan

来源：

KOREAN JOURNAL OF RADIOLOGY | 2010年 / 11卷 / 02期

关键词：

Perforation; Sigmoid adenocarcinoma; Inguinal hernia; Computed tomography (CT); CARCINOMA;

D O I：

10.3348/kjr.2010.11.2.231

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

A perforated sigmoid colon cancer within an inguinal hernia is extremely rare. This unexpected finding is usually discovered during surgery and causes an unavoidable septic evolution. Here, we describe the case of an 84-year-old man who presented with fever, abdominal distension, and a painful, enlarged, left scrotum. A CT showed a left, incarcerated, inguinal hernia containing a perforated sigmoid adenocarcinoma (which was confirmed by histopathology). The possibility of an irreducible inguinal hernia in association with perforated sigmoid colon cancer should be considered in the array of diagnoses. A pre-operative CT scan would be helpful in facilitating an accurate diagnosis.

引用

页码：231 / 233

页数：3

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