Sigmoid Colon Cancer in an Irreducible Scrotal Hernia Case: A Combined Surgical Laparoscopic and Inguinal Approach and Review of the Literature

Abstract

Inguinal hernia and colorectal cancer, considered individually, are very common pathologies; their simultaneous manifestation in the same patient, on the other hand, is a rare condition and even more the presentation in the form of a complication (bleeding, intestinal obstruction, etc.). We report an 86-year-old man case of incarcerated sigmoid colon carcinoma diagnosed in the emergency department preoperatively and treated with elective laparoscopic surgery, combined with an inguinal approach. Literature review (last 30 years) was applied to analyzed variability and open questions in the management of this particular pathologic combination.