Tan A, Taylor G, Ahmed T
Airedale NHS Foundation Trust, UK.
Ann R Coll Surg Engl. 2013 Oct;95(7):125-6. doi: 10.1308/003588413X13629960047911.
Inguinal (inguinoscrotal) hernia and colon cancer are common conditions. However, it is rare for primary colon cancer to exist in an inguinal hernia sac and even rarer for it to perforate. We report such an event in our patient, who had an irreducible left inguinoscrotal hernia containing a sigmoid colon carcinoma that had perforated. This clinical picture can be easily confused with hernia strangulation unless the clinician is alert to the presence of certain sinister symptoms and signs.
腹股沟（腹股沟阴囊型）疝和结肠癌是常见病症。然而，原发性结肠癌存在于腹股沟疝囊内的情况罕见，而穿孔的情况则更为罕见。我们报告了我们的一位患者发生的此类事件，该患者患有不可复性左侧腹股沟阴囊型疝，疝囊内含有已穿孔的乙状结肠癌。除非临床医生对某些凶险的症状和体征保持警惕，否则这种临床表现很容易与疝绞窄相混淆。
