Obstructed small bowel ruptured toward the inguinal canal resulting from metastatic colon carcinoma in an irreducible, recurrent inguinal hernia with mesh-plug repair: Report of a case.

Four years after treatment of colon cancer an 82-year-old man presented with an irreducible, recurrent inguinal hernia with mesh-plug repair. Delayed surgical exploration revealed metastatic cancer with small bowel adhesion to the mesh-plug and perforation. The mesh-plug with adherent tissue was removed through the inguinal incision, and the ruptured small bowel was resected. Histopathology revealed moderately differentiated mucinous adenocarcinoma of the tissue adhering to the prosthetic material corresponding to the original colon cancer.