International journal of surgery case reports · 2014
Intrasaccular caecal adenocarcinoma presenting as enlarging right inguinoscrotal hernia.
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Marsden Max, Curtis Nathan, McGee Shaun, Bracey Emma, Branagan Graham, Sleight Simon
Аннотация
INTRODUCTION: Colorectal cancer and inguinal hernias are both common surgical pathologies in the elderly but rarely co-exist. Where the conditions overlap, there can be difficulties in both diagnosis and treatment.
PRESENTATION OF CASE: A 78 year old man with unexplained iron deficiency anaemia was investigated for gastrointestinal cancer. He was found to have enlarging bilateral inguinoscrotal hernias. CT colonoscopy revealed a herniated caecal carcinoma contained within the scrotum. An open excision was performed.
DISCUSSION: Iron deficiency anaemia without obvious bleeding is associated with colorectal cancer and should be thoroughly investigated. Asymptomatic inguinal hernias are often ignored by patients. However, a change in an existing hernia may be associated with neoplasia.
CONCLUSION: Dual pathology raises new difficulties in assessment, investigation and management of colorectal cancer.
PRESENTATION OF CASE: A 78 year old man with unexplained iron deficiency anaemia was investigated for gastrointestinal cancer. He was found to have enlarging bilateral inguinoscrotal hernias. CT colonoscopy revealed a herniated caecal carcinoma contained within the scrotum. An open excision was performed.
DISCUSSION: Iron deficiency anaemia without obvious bleeding is associated with colorectal cancer and should be thoroughly investigated. Asymptomatic inguinal hernias are often ignored by patients. However, a change in an existing hernia may be associated with neoplasia.
CONCLUSION: Dual pathology raises new difficulties in assessment, investigation and management of colorectal cancer.