Incomplete bowel obstruction caused by sigmoid colon cancer in an inguinal hernia: a case report

Background Most colon cancers that develop in the intestinal tract within the inguinal hernia sac are identified by incarceration. However, treatment methods for these cases vary depending on the pathology. Cases showing perforation or abscess formation require emergency surgery for infection control, while cases with no infection generally involve oncological resection, with laparoscopic surgery also being an option. We encountered a case of Incomplete bowel obstruction secondary to sigmoid colon cancer within the hernial sac. We report the process leading to the selection of the treatment method and the surgical technique, along with a review of the literature. Case presentation A 79-year-old man presented to our hospital complaining of a left inguinal bulge (hernia) and pain in the same area. The patient had the hernia for more than 20 years. Using computed tomography, we diagnosed an incomplete bowel obstruction caused by a tumor of the intestinal tract within the hernial sac. Since imaging examination showed no signs of strangulation or perforation, we decided to perform elective surgery after a definitive diagnosis. After colonoscopy, we diagnosed sigmoid colon cancer with extra-serosal invasion; however, we could not insert a colorectal tube. Although we proposed sigmoid resection and temporary ileostomy, we chose the open Hartmann procedure because the patient wanted a single surgery. For the hernia, we simultaneously used the Iliopubic Tract Repair method, which does not require a mesh. Eight months after the surgery, no recurrence of cancer or hernia was observed. Conclusions We report a case of advanced sigmoid colon cancer with a long-standing inguinal hernia that later became incomplete bowel obstruction. Although previous studies have used various approaches among the available surgical methods for cancer within the hernial sac, such as inguinal incision, laparotomy, and laparoscopic surgery, most hernias are repaired during the initial surgery using a non-mesh method. For patients with inguinal hernias that have become difficult to treat, the complications of malignancy should be taken into consideration and the treatment option should be chosen according to the pathophysiology. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Sujino, Hiroki [verfasserIn] Gon, Hideki [verfasserIn] Shimoda, Yota [verfasserIn] Takishita, Chie [verfasserIn] Enomoto, Masanobu [verfasserIn] Tachibana, Shingo [verfasserIn] Kasuya, Kazuhiko [verfasserIn] Nagakawa, Yuichi [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2024

Schlagwörter:	Inguinal Hernia Incarceration Sigmoid Colon Cancer Bowel obstruction

Anmerkung:	© The Author(s) 2024

Übergeordnetes Werk:	Enthalten in: Surgical case reports - Springer Berlin Heidelberg, 2015, 10(2024), 1 vom: 24. Apr.
Übergeordnetes Werk:	volume:10 ; year:2024 ; number:1 ; day:24 ; month:04

Links:	Volltext

DOI / URN:	10.1186/s40792-024-01874-1

Katalog-ID:	SPR055636853

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520			\|a Background Most colon cancers that develop in the intestinal tract within the inguinal hernia sac are identified by incarceration. However, treatment methods for these cases vary depending on the pathology. Cases showing perforation or abscess formation require emergency surgery for infection control, while cases with no infection generally involve oncological resection, with laparoscopic surgery also being an option. We encountered a case of Incomplete bowel obstruction secondary to sigmoid colon cancer within the hernial sac. We report the process leading to the selection of the treatment method and the surgical technique, along with a review of the literature. Case presentation A 79-year-old man presented to our hospital complaining of a left inguinal bulge (hernia) and pain in the same area. The patient had the hernia for more than 20 years. Using computed tomography, we diagnosed an incomplete bowel obstruction caused by a tumor of the intestinal tract within the hernial sac. Since imaging examination showed no signs of strangulation or perforation, we decided to perform elective surgery after a definitive diagnosis. After colonoscopy, we diagnosed sigmoid colon cancer with extra-serosal invasion; however, we could not insert a colorectal tube. Although we proposed sigmoid resection and temporary ileostomy, we chose the open Hartmann procedure because the patient wanted a single surgery. For the hernia, we simultaneously used the Iliopubic Tract Repair method, which does not require a mesh. Eight months after the surgery, no recurrence of cancer or hernia was observed. Conclusions We report a case of advanced sigmoid colon cancer with a long-standing inguinal hernia that later became incomplete bowel obstruction. Although previous studies have used various approaches among the available surgical methods for cancer within the hernial sac, such as inguinal incision, laparotomy, and laparoscopic surgery, most hernias are repaired during the initial surgery using a non-mesh method. For patients with inguinal hernias that have become difficult to treat, the complications of malignancy should be taken into consideration and the treatment option should be chosen according to the pathophysiology.
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allfields	10.1186/s40792-024-01874-1 doi (DE-627)SPR055636853 (SPR)s40792-024-01874-1-e DE-627 ger DE-627 rakwb eng 610 VZ Sujino, Hiroki verfasserin aut Incomplete bowel obstruction caused by sigmoid colon cancer in an inguinal hernia: a case report 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Most colon cancers that develop in the intestinal tract within the inguinal hernia sac are identified by incarceration. However, treatment methods for these cases vary depending on the pathology. Cases showing perforation or abscess formation require emergency surgery for infection control, while cases with no infection generally involve oncological resection, with laparoscopic surgery also being an option. We encountered a case of Incomplete bowel obstruction secondary to sigmoid colon cancer within the hernial sac. We report the process leading to the selection of the treatment method and the surgical technique, along with a review of the literature. Case presentation A 79-year-old man presented to our hospital complaining of a left inguinal bulge (hernia) and pain in the same area. The patient had the hernia for more than 20 years. Using computed tomography, we diagnosed an incomplete bowel obstruction caused by a tumor of the intestinal tract within the hernial sac. Since imaging examination showed no signs of strangulation or perforation, we decided to perform elective surgery after a definitive diagnosis. After colonoscopy, we diagnosed sigmoid colon cancer with extra-serosal invasion; however, we could not insert a colorectal tube. Although we proposed sigmoid resection and temporary ileostomy, we chose the open Hartmann procedure because the patient wanted a single surgery. For the hernia, we simultaneously used the Iliopubic Tract Repair method, which does not require a mesh. Eight months after the surgery, no recurrence of cancer or hernia was observed. Conclusions We report a case of advanced sigmoid colon cancer with a long-standing inguinal hernia that later became incomplete bowel obstruction. Although previous studies have used various approaches among the available surgical methods for cancer within the hernial sac, such as inguinal incision, laparotomy, and laparoscopic surgery, most hernias are repaired during the initial surgery using a non-mesh method. For patients with inguinal hernias that have become difficult to treat, the complications of malignancy should be taken into consideration and the treatment option should be chosen according to the pathophysiology. Inguinal (dpeaa)DE-He213 Hernia (dpeaa)DE-He213 Incarceration (dpeaa)DE-He213 Sigmoid (dpeaa)DE-He213 Colon (dpeaa)DE-He213 Cancer (dpeaa)DE-He213 Bowel obstruction (dpeaa)DE-He213 Gon, Hideki verfasserin aut Shimoda, Yota verfasserin aut Takishita, Chie verfasserin aut Enomoto, Masanobu verfasserin aut Tachibana, Shingo verfasserin aut Kasuya, Kazuhiko verfasserin (orcid)0000-0002-7260-4378 aut Nagakawa, Yuichi verfasserin aut Enthalten in Surgical case reports Springer Berlin Heidelberg, 2015 10(2024), 1 vom: 24. Apr. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:10 year:2024 number:1 day:24 month:04 https://dx.doi.org/10.1186/s40792-024-01874-1 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2024 1 24 04
spelling	10.1186/s40792-024-01874-1 doi (DE-627)SPR055636853 (SPR)s40792-024-01874-1-e DE-627 ger DE-627 rakwb eng 610 VZ Sujino, Hiroki verfasserin aut Incomplete bowel obstruction caused by sigmoid colon cancer in an inguinal hernia: a case report 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Most colon cancers that develop in the intestinal tract within the inguinal hernia sac are identified by incarceration. However, treatment methods for these cases vary depending on the pathology. Cases showing perforation or abscess formation require emergency surgery for infection control, while cases with no infection generally involve oncological resection, with laparoscopic surgery also being an option. We encountered a case of Incomplete bowel obstruction secondary to sigmoid colon cancer within the hernial sac. We report the process leading to the selection of the treatment method and the surgical technique, along with a review of the literature. Case presentation A 79-year-old man presented to our hospital complaining of a left inguinal bulge (hernia) and pain in the same area. The patient had the hernia for more than 20 years. Using computed tomography, we diagnosed an incomplete bowel obstruction caused by a tumor of the intestinal tract within the hernial sac. Since imaging examination showed no signs of strangulation or perforation, we decided to perform elective surgery after a definitive diagnosis. After colonoscopy, we diagnosed sigmoid colon cancer with extra-serosal invasion; however, we could not insert a colorectal tube. Although we proposed sigmoid resection and temporary ileostomy, we chose the open Hartmann procedure because the patient wanted a single surgery. For the hernia, we simultaneously used the Iliopubic Tract Repair method, which does not require a mesh. Eight months after the surgery, no recurrence of cancer or hernia was observed. Conclusions We report a case of advanced sigmoid colon cancer with a long-standing inguinal hernia that later became incomplete bowel obstruction. Although previous studies have used various approaches among the available surgical methods for cancer within the hernial sac, such as inguinal incision, laparotomy, and laparoscopic surgery, most hernias are repaired during the initial surgery using a non-mesh method. For patients with inguinal hernias that have become difficult to treat, the complications of malignancy should be taken into consideration and the treatment option should be chosen according to the pathophysiology. Inguinal (dpeaa)DE-He213 Hernia (dpeaa)DE-He213 Incarceration (dpeaa)DE-He213 Sigmoid (dpeaa)DE-He213 Colon (dpeaa)DE-He213 Cancer (dpeaa)DE-He213 Bowel obstruction (dpeaa)DE-He213 Gon, Hideki verfasserin aut Shimoda, Yota verfasserin aut Takishita, Chie verfasserin aut Enomoto, Masanobu verfasserin aut Tachibana, Shingo verfasserin aut Kasuya, Kazuhiko verfasserin (orcid)0000-0002-7260-4378 aut Nagakawa, Yuichi verfasserin aut Enthalten in Surgical case reports Springer Berlin Heidelberg, 2015 10(2024), 1 vom: 24. Apr. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:10 year:2024 number:1 day:24 month:04 https://dx.doi.org/10.1186/s40792-024-01874-1 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2024 1 24 04
allfields_unstemmed	10.1186/s40792-024-01874-1 doi (DE-627)SPR055636853 (SPR)s40792-024-01874-1-e DE-627 ger DE-627 rakwb eng 610 VZ Sujino, Hiroki verfasserin aut Incomplete bowel obstruction caused by sigmoid colon cancer in an inguinal hernia: a case report 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Most colon cancers that develop in the intestinal tract within the inguinal hernia sac are identified by incarceration. However, treatment methods for these cases vary depending on the pathology. Cases showing perforation or abscess formation require emergency surgery for infection control, while cases with no infection generally involve oncological resection, with laparoscopic surgery also being an option. We encountered a case of Incomplete bowel obstruction secondary to sigmoid colon cancer within the hernial sac. We report the process leading to the selection of the treatment method and the surgical technique, along with a review of the literature. Case presentation A 79-year-old man presented to our hospital complaining of a left inguinal bulge (hernia) and pain in the same area. The patient had the hernia for more than 20 years. Using computed tomography, we diagnosed an incomplete bowel obstruction caused by a tumor of the intestinal tract within the hernial sac. Since imaging examination showed no signs of strangulation or perforation, we decided to perform elective surgery after a definitive diagnosis. After colonoscopy, we diagnosed sigmoid colon cancer with extra-serosal invasion; however, we could not insert a colorectal tube. Although we proposed sigmoid resection and temporary ileostomy, we chose the open Hartmann procedure because the patient wanted a single surgery. For the hernia, we simultaneously used the Iliopubic Tract Repair method, which does not require a mesh. Eight months after the surgery, no recurrence of cancer or hernia was observed. Conclusions We report a case of advanced sigmoid colon cancer with a long-standing inguinal hernia that later became incomplete bowel obstruction. Although previous studies have used various approaches among the available surgical methods for cancer within the hernial sac, such as inguinal incision, laparotomy, and laparoscopic surgery, most hernias are repaired during the initial surgery using a non-mesh method. For patients with inguinal hernias that have become difficult to treat, the complications of malignancy should be taken into consideration and the treatment option should be chosen according to the pathophysiology. Inguinal (dpeaa)DE-He213 Hernia (dpeaa)DE-He213 Incarceration (dpeaa)DE-He213 Sigmoid (dpeaa)DE-He213 Colon (dpeaa)DE-He213 Cancer (dpeaa)DE-He213 Bowel obstruction (dpeaa)DE-He213 Gon, Hideki verfasserin aut Shimoda, Yota verfasserin aut Takishita, Chie verfasserin aut Enomoto, Masanobu verfasserin aut Tachibana, Shingo verfasserin aut Kasuya, Kazuhiko verfasserin (orcid)0000-0002-7260-4378 aut Nagakawa, Yuichi verfasserin aut Enthalten in Surgical case reports Springer Berlin Heidelberg, 2015 10(2024), 1 vom: 24. Apr. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:10 year:2024 number:1 day:24 month:04 https://dx.doi.org/10.1186/s40792-024-01874-1 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2024 1 24 04
allfieldsGer	10.1186/s40792-024-01874-1 doi (DE-627)SPR055636853 (SPR)s40792-024-01874-1-e DE-627 ger DE-627 rakwb eng 610 VZ Sujino, Hiroki verfasserin aut Incomplete bowel obstruction caused by sigmoid colon cancer in an inguinal hernia: a case report 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Most colon cancers that develop in the intestinal tract within the inguinal hernia sac are identified by incarceration. However, treatment methods for these cases vary depending on the pathology. Cases showing perforation or abscess formation require emergency surgery for infection control, while cases with no infection generally involve oncological resection, with laparoscopic surgery also being an option. We encountered a case of Incomplete bowel obstruction secondary to sigmoid colon cancer within the hernial sac. We report the process leading to the selection of the treatment method and the surgical technique, along with a review of the literature. Case presentation A 79-year-old man presented to our hospital complaining of a left inguinal bulge (hernia) and pain in the same area. The patient had the hernia for more than 20 years. Using computed tomography, we diagnosed an incomplete bowel obstruction caused by a tumor of the intestinal tract within the hernial sac. Since imaging examination showed no signs of strangulation or perforation, we decided to perform elective surgery after a definitive diagnosis. After colonoscopy, we diagnosed sigmoid colon cancer with extra-serosal invasion; however, we could not insert a colorectal tube. Although we proposed sigmoid resection and temporary ileostomy, we chose the open Hartmann procedure because the patient wanted a single surgery. For the hernia, we simultaneously used the Iliopubic Tract Repair method, which does not require a mesh. Eight months after the surgery, no recurrence of cancer or hernia was observed. Conclusions We report a case of advanced sigmoid colon cancer with a long-standing inguinal hernia that later became incomplete bowel obstruction. Although previous studies have used various approaches among the available surgical methods for cancer within the hernial sac, such as inguinal incision, laparotomy, and laparoscopic surgery, most hernias are repaired during the initial surgery using a non-mesh method. For patients with inguinal hernias that have become difficult to treat, the complications of malignancy should be taken into consideration and the treatment option should be chosen according to the pathophysiology. Inguinal (dpeaa)DE-He213 Hernia (dpeaa)DE-He213 Incarceration (dpeaa)DE-He213 Sigmoid (dpeaa)DE-He213 Colon (dpeaa)DE-He213 Cancer (dpeaa)DE-He213 Bowel obstruction (dpeaa)DE-He213 Gon, Hideki verfasserin aut Shimoda, Yota verfasserin aut Takishita, Chie verfasserin aut Enomoto, Masanobu verfasserin aut Tachibana, Shingo verfasserin aut Kasuya, Kazuhiko verfasserin (orcid)0000-0002-7260-4378 aut Nagakawa, Yuichi verfasserin aut Enthalten in Surgical case reports Springer Berlin Heidelberg, 2015 10(2024), 1 vom: 24. Apr. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:10 year:2024 number:1 day:24 month:04 https://dx.doi.org/10.1186/s40792-024-01874-1 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2024 1 24 04
allfieldsSound	10.1186/s40792-024-01874-1 doi (DE-627)SPR055636853 (SPR)s40792-024-01874-1-e DE-627 ger DE-627 rakwb eng 610 VZ Sujino, Hiroki verfasserin aut Incomplete bowel obstruction caused by sigmoid colon cancer in an inguinal hernia: a case report 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Most colon cancers that develop in the intestinal tract within the inguinal hernia sac are identified by incarceration. However, treatment methods for these cases vary depending on the pathology. Cases showing perforation or abscess formation require emergency surgery for infection control, while cases with no infection generally involve oncological resection, with laparoscopic surgery also being an option. We encountered a case of Incomplete bowel obstruction secondary to sigmoid colon cancer within the hernial sac. We report the process leading to the selection of the treatment method and the surgical technique, along with a review of the literature. Case presentation A 79-year-old man presented to our hospital complaining of a left inguinal bulge (hernia) and pain in the same area. The patient had the hernia for more than 20 years. Using computed tomography, we diagnosed an incomplete bowel obstruction caused by a tumor of the intestinal tract within the hernial sac. Since imaging examination showed no signs of strangulation or perforation, we decided to perform elective surgery after a definitive diagnosis. After colonoscopy, we diagnosed sigmoid colon cancer with extra-serosal invasion; however, we could not insert a colorectal tube. Although we proposed sigmoid resection and temporary ileostomy, we chose the open Hartmann procedure because the patient wanted a single surgery. For the hernia, we simultaneously used the Iliopubic Tract Repair method, which does not require a mesh. Eight months after the surgery, no recurrence of cancer or hernia was observed. Conclusions We report a case of advanced sigmoid colon cancer with a long-standing inguinal hernia that later became incomplete bowel obstruction. Although previous studies have used various approaches among the available surgical methods for cancer within the hernial sac, such as inguinal incision, laparotomy, and laparoscopic surgery, most hernias are repaired during the initial surgery using a non-mesh method. For patients with inguinal hernias that have become difficult to treat, the complications of malignancy should be taken into consideration and the treatment option should be chosen according to the pathophysiology. Inguinal (dpeaa)DE-He213 Hernia (dpeaa)DE-He213 Incarceration (dpeaa)DE-He213 Sigmoid (dpeaa)DE-He213 Colon (dpeaa)DE-He213 Cancer (dpeaa)DE-He213 Bowel obstruction (dpeaa)DE-He213 Gon, Hideki verfasserin aut Shimoda, Yota verfasserin aut Takishita, Chie verfasserin aut Enomoto, Masanobu verfasserin aut Tachibana, Shingo verfasserin aut Kasuya, Kazuhiko verfasserin (orcid)0000-0002-7260-4378 aut Nagakawa, Yuichi verfasserin aut Enthalten in Surgical case reports Springer Berlin Heidelberg, 2015 10(2024), 1 vom: 24. Apr. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:10 year:2024 number:1 day:24 month:04 https://dx.doi.org/10.1186/s40792-024-01874-1 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2024 1 24 04
language	English
source	Enthalten in Surgical case reports 10(2024), 1 vom: 24. Apr. volume:10 year:2024 number:1 day:24 month:04
sourceStr	Enthalten in Surgical case reports 10(2024), 1 vom: 24. Apr. volume:10 year:2024 number:1 day:24 month:04
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institution	findex.gbv.de
topic_facet	Inguinal Hernia Incarceration Sigmoid Colon Cancer Bowel obstruction
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container_title	Surgical case reports
authorswithroles_txt_mv	Sujino, Hiroki @@aut@@ Gon, Hideki @@aut@@ Shimoda, Yota @@aut@@ Takishita, Chie @@aut@@ Enomoto, Masanobu @@aut@@ Tachibana, Shingo @@aut@@ Kasuya, Kazuhiko @@aut@@ Nagakawa, Yuichi @@aut@@
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author	Sujino, Hiroki
spellingShingle	Sujino, Hiroki ddc 610 misc Inguinal misc Hernia misc Incarceration misc Sigmoid misc Colon misc Cancer misc Bowel obstruction Incomplete bowel obstruction caused by sigmoid colon cancer in an inguinal hernia: a case report
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topic_title	610 VZ Incomplete bowel obstruction caused by sigmoid colon cancer in an inguinal hernia: a case report Inguinal (dpeaa)DE-He213 Hernia (dpeaa)DE-He213 Incarceration (dpeaa)DE-He213 Sigmoid (dpeaa)DE-He213 Colon (dpeaa)DE-He213 Cancer (dpeaa)DE-He213 Bowel obstruction (dpeaa)DE-He213
topic	ddc 610 misc Inguinal misc Hernia misc Incarceration misc Sigmoid misc Colon misc Cancer misc Bowel obstruction
topic_unstemmed	ddc 610 misc Inguinal misc Hernia misc Incarceration misc Sigmoid misc Colon misc Cancer misc Bowel obstruction
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title	Incomplete bowel obstruction caused by sigmoid colon cancer in an inguinal hernia: a case report
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title_full	Incomplete bowel obstruction caused by sigmoid colon cancer in an inguinal hernia: a case report
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author_browse	Sujino, Hiroki Gon, Hideki Shimoda, Yota Takishita, Chie Enomoto, Masanobu Tachibana, Shingo Kasuya, Kazuhiko Nagakawa, Yuichi
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title_sort	incomplete bowel obstruction caused by sigmoid colon cancer in an inguinal hernia: a case report
title_auth	Incomplete bowel obstruction caused by sigmoid colon cancer in an inguinal hernia: a case report
abstract	Background Most colon cancers that develop in the intestinal tract within the inguinal hernia sac are identified by incarceration. However, treatment methods for these cases vary depending on the pathology. Cases showing perforation or abscess formation require emergency surgery for infection control, while cases with no infection generally involve oncological resection, with laparoscopic surgery also being an option. We encountered a case of Incomplete bowel obstruction secondary to sigmoid colon cancer within the hernial sac. We report the process leading to the selection of the treatment method and the surgical technique, along with a review of the literature. Case presentation A 79-year-old man presented to our hospital complaining of a left inguinal bulge (hernia) and pain in the same area. The patient had the hernia for more than 20 years. Using computed tomography, we diagnosed an incomplete bowel obstruction caused by a tumor of the intestinal tract within the hernial sac. Since imaging examination showed no signs of strangulation or perforation, we decided to perform elective surgery after a definitive diagnosis. After colonoscopy, we diagnosed sigmoid colon cancer with extra-serosal invasion; however, we could not insert a colorectal tube. Although we proposed sigmoid resection and temporary ileostomy, we chose the open Hartmann procedure because the patient wanted a single surgery. For the hernia, we simultaneously used the Iliopubic Tract Repair method, which does not require a mesh. Eight months after the surgery, no recurrence of cancer or hernia was observed. Conclusions We report a case of advanced sigmoid colon cancer with a long-standing inguinal hernia that later became incomplete bowel obstruction. Although previous studies have used various approaches among the available surgical methods for cancer within the hernial sac, such as inguinal incision, laparotomy, and laparoscopic surgery, most hernias are repaired during the initial surgery using a non-mesh method. For patients with inguinal hernias that have become difficult to treat, the complications of malignancy should be taken into consideration and the treatment option should be chosen according to the pathophysiology. © The Author(s) 2024
abstractGer	Background Most colon cancers that develop in the intestinal tract within the inguinal hernia sac are identified by incarceration. However, treatment methods for these cases vary depending on the pathology. Cases showing perforation or abscess formation require emergency surgery for infection control, while cases with no infection generally involve oncological resection, with laparoscopic surgery also being an option. We encountered a case of Incomplete bowel obstruction secondary to sigmoid colon cancer within the hernial sac. We report the process leading to the selection of the treatment method and the surgical technique, along with a review of the literature. Case presentation A 79-year-old man presented to our hospital complaining of a left inguinal bulge (hernia) and pain in the same area. The patient had the hernia for more than 20 years. Using computed tomography, we diagnosed an incomplete bowel obstruction caused by a tumor of the intestinal tract within the hernial sac. Since imaging examination showed no signs of strangulation or perforation, we decided to perform elective surgery after a definitive diagnosis. After colonoscopy, we diagnosed sigmoid colon cancer with extra-serosal invasion; however, we could not insert a colorectal tube. Although we proposed sigmoid resection and temporary ileostomy, we chose the open Hartmann procedure because the patient wanted a single surgery. For the hernia, we simultaneously used the Iliopubic Tract Repair method, which does not require a mesh. Eight months after the surgery, no recurrence of cancer or hernia was observed. Conclusions We report a case of advanced sigmoid colon cancer with a long-standing inguinal hernia that later became incomplete bowel obstruction. Although previous studies have used various approaches among the available surgical methods for cancer within the hernial sac, such as inguinal incision, laparotomy, and laparoscopic surgery, most hernias are repaired during the initial surgery using a non-mesh method. For patients with inguinal hernias that have become difficult to treat, the complications of malignancy should be taken into consideration and the treatment option should be chosen according to the pathophysiology. © The Author(s) 2024
abstract_unstemmed	Background Most colon cancers that develop in the intestinal tract within the inguinal hernia sac are identified by incarceration. However, treatment methods for these cases vary depending on the pathology. Cases showing perforation or abscess formation require emergency surgery for infection control, while cases with no infection generally involve oncological resection, with laparoscopic surgery also being an option. We encountered a case of Incomplete bowel obstruction secondary to sigmoid colon cancer within the hernial sac. We report the process leading to the selection of the treatment method and the surgical technique, along with a review of the literature. Case presentation A 79-year-old man presented to our hospital complaining of a left inguinal bulge (hernia) and pain in the same area. The patient had the hernia for more than 20 years. Using computed tomography, we diagnosed an incomplete bowel obstruction caused by a tumor of the intestinal tract within the hernial sac. Since imaging examination showed no signs of strangulation or perforation, we decided to perform elective surgery after a definitive diagnosis. After colonoscopy, we diagnosed sigmoid colon cancer with extra-serosal invasion; however, we could not insert a colorectal tube. Although we proposed sigmoid resection and temporary ileostomy, we chose the open Hartmann procedure because the patient wanted a single surgery. For the hernia, we simultaneously used the Iliopubic Tract Repair method, which does not require a mesh. Eight months after the surgery, no recurrence of cancer or hernia was observed. Conclusions We report a case of advanced sigmoid colon cancer with a long-standing inguinal hernia that later became incomplete bowel obstruction. Although previous studies have used various approaches among the available surgical methods for cancer within the hernial sac, such as inguinal incision, laparotomy, and laparoscopic surgery, most hernias are repaired during the initial surgery using a non-mesh method. For patients with inguinal hernias that have become difficult to treat, the complications of malignancy should be taken into consideration and the treatment option should be chosen according to the pathophysiology. © The Author(s) 2024
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title_short	Incomplete bowel obstruction caused by sigmoid colon cancer in an inguinal hernia: a case report
url	https://dx.doi.org/10.1186/s40792-024-01874-1
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author2	Gon, Hideki Shimoda, Yota Takishita, Chie Enomoto, Masanobu Tachibana, Shingo Kasuya, Kazuhiko Nagakawa, Yuichi
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up_date	2024-07-03T17:01:20.076Z
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