Rare Case of Obstructing Sigmoid Carcinoma Encountering Within a Scrotal Hernia

Abstract Aim To present our experience with treatment of obstructing sigmoid carcinoma encountering within a scrotal hernia and to find out the best approach for oncological bowel resection and simultaneous hernia repair in this situation. Materials and Methods We want to report about our case and to present a current literature review from PubMed and Google Scholar database, performed in January 2024. In our case we chose to perform a conventional oncological left-sided colon resection with anastomosis via median laparotomy. During the operation an en-bloc left-sided orchiectomy was needed for oncological reasons. The suture repair for a scrotal hernia was performed because of contamination. The patient has uneventful postoperative course and was discharge from hospital on the postoperative day 9. Results Scrotal hernia is a common surgical condition. It's quite rare — less than 0,4% of the cases in which colon adenocarcinoma presents within a inguinal hernia sac. A literature search on inguinal hernias containing a primary colon carcinoma revealed 29 cases. Scrotal hernia associated with obstructing sigmoid carcinoma is even more rare. Conclusions A surgeon may encounter a challenging scenario requiring both an oncologic resection and a repair of a large hernia in contaminated field. Thus, it is important to be prepared to realize the difficulties and to apply the correct treatment of both conditions.