Gnaś Jarosław, Bulsa Marek, Czaja-Bulsa Grażyna
Hospital Medical Center in Goleniow, Surgery Department, str. Nowogardzka 2, 72-100 Goleniow, Poland.
Hospital Medical Center in Goleniow, Gynecological and Obstetric Department, str. Nowogardzka 2, 72-100 Goleniow, Poland.
Int J Surg Case Rep. 2014;5(8):491-3. doi: 10.1016/j.ijscr.2014.04.013. Epub 2014 Jun 11.
In relation to all inguinal hernias, large irreducible scrotal hernias are quite rare, while such hernias containing colon tumors in the sac have so far been described in fewer than 30 cases.
A 61-year-old patient was admitted for a planned surgery because of a large irreducible left-sided scrotal hernia. Intraoperatively, a large tumor of the sigmoid colon was found in the hernial sac. In a histopathological examination it was diagnosed as adenocarcinoma. A palliative operation was performed and he was referred to further systemic and palliative treatment (because of numerous coexisting liver metastases).
Until now, only about 30 cases of colon tumor in inguinal hernia sac have been reported.
It should be remembered that even the most obvious preoperative diagnosis may be verified intraoperatively.
在所有腹股沟疝中，巨大不可复性阴囊疝相当罕见，而疝囊内包含结肠肿瘤的此类疝迄今报道少于30例。
一名61岁患者因左侧巨大不可复性阴囊疝入院接受择期手术。术中发现疝囊内有一个乙状结肠大肿瘤。组织病理学检查诊断为腺癌。进行了姑息性手术，并将其转诊接受进一步的全身和姑息治疗（因存在多处肝转移）。
到目前为止，仅报道了约30例腹股沟疝囊内结肠肿瘤病例。
应记住，即使术前诊断最明确，也可能在术中得到证实。
