Baldi Dario, Alfano Vincenzo, Punzo Bruna, Tramontano Liberatore, Baselice Simona, Spidalieri Gianluca, Micera Osvaldo, Cavaliere Carlo
IRCCS SDN, 80143 Naples, Italy.
Department of Radiology, Casa di Cura Montevergine, 83013 Mercogliano, Italy.
Diagnostics (Basel). 2020 Feb 11;10(2):99. doi: 10.3390/diagnostics10020099.
Incarcerated inguinal hernia is a common diagnosis in patients presenting a painful and nonreducible groin mass. Although the diagnosis is usually made by physical examination, the content of the hernia sac and the extent of the surgical operation may vary and can require multimodal imaging integration (e.g., ultrasonography, computed tomography); the usual finding is a segment of small bowel and, less commonly, large bowel. We present an extremely rare case of a sigmoid cancer incarcerated in a left inguinal hernia and infiltrating the spermatic cord. The patient underwent whole-body computed tomography (CT) with contrast agent injection for staging, followed by a left hemicolectomy paralleled by a unilateral orchiectomy.
嵌顿性腹股沟疝是出现腹股沟肿物疼痛且不可还纳的患者的常见诊断。虽然通常通过体格检查做出诊断，但疝囊内容物和手术范围可能有所不同，可能需要多模态影像整合（如超声、计算机断层扫描）；常见发现是一段小肠，较少见的是大肠。我们报告一例极为罕见的病例，乙状结肠癌嵌顿于左侧腹股沟疝并浸润精索。患者接受了注射造影剂的全身计算机断层扫描（CT）以进行分期，随后进行了左半结肠切除术并行单侧睾丸切除术。
