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<p>Inguinal hernias are commonly encountered in clinical practice, often presenting with various manifestations. However, the occurrence of colon cancer within an inguinal hernia is rare, and there is currently no established consensus on its understanding and management. Our recent experience with a case of colon cancer within an inguinal hernia prompted a comprehensive review of this unusual presentation. We conducted a systematic literature review focusing on colon cancer patients with inguinal hernias. Additionally, we included a case study of obstructed colon cancer within an inguinal hernia. Patients were evaluated according to the presence or absence of mesh during hernial repair, and the presence and absence of diversion stomas (DS), and were then evaluated according to the Clavien-Dindo (CD) classification. A total of 568 articles were extracted, and 40 patients were included from 37 articles. We added a case from our institute, making a total of 40 patients. 95.1% of the patients were males, with a mean age of 72.08 ± 13.48&#xa0;years. 65.9% of the patients were over the age of 70&#xa0;years. Seventy-eight percent of the hernial sacs contained a sigmoid mass. Primary hernial repair and colectomy in the same session were done in 33 patients (80.5%). Diversion stoma was done in 43.9% (<i>n</i> = 18) of the patients, of which only 3 patients underwent a hernial mesh repair in the same setting. 75.6% of patients experienced no complications. There was no correlation between the absence or presence of mesh with the use of diversion stoma (<i>P</i> = 0.430). Surgical management of colon cancer inside a groin hernia is challenging. A laparoscopic or laparotomy approach with oncological resection of the tumor and hernial repair in the same setting is a feasible option that may carry less morbidity. Mesh placement via pro-peritoneal, TAPP, or TEP approaches might be safer for hernial repair. Further research is needed for managing hernias with mesh in the setting of diverting stomas.</p><p><b>Clinical trial number:</b> not applicable.</p>

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Colon Cancer Presentation in Inguinal Hernias: A Systematic Review

  • 期刊论文

  • 发表日期：

    2025年6月2日

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  • Ahmed ElShamarka,
  • Mohamed H. Zidan,
  • Hashem Altabbaa,
  • Ahmed Ibrahim,
  • Albaraa Daradkeh,
  • Haidy Ismail,
  • Youssef Tarek,
  • Mohamed Al Sayed

摘要

Inguinal hernias are commonly encountered in clinical practice, often presenting with various manifestations. However, the occurrence of colon cancer within an inguinal hernia is rare, and there is currently no established consensus on its understanding and management. Our recent experience with a case of colon cancer within an inguinal hernia prompted a comprehensive review of this unusual presentation. We conducted a systematic literature review focusing on colon cancer patients with inguinal hernias. Additionally, we included a case study of obstructed colon cancer within an inguinal hernia. Patients were evaluated according to the presence or absence of mesh during hernial repair, and the presence and absence of diversion stomas (DS), and were then evaluated according to the Clavien-Dindo (CD) classification. A total of 568 articles were extracted, and 40 patients were included from 37 articles. We added a case from our institute, making a total of 40 patients. 95.1% of the patients were males, with a mean age of 72.08 ± 13.48 years. 65.9% of the patients were over the age of 70 years. Seventy-eight percent of the hernial sacs contained a sigmoid mass. Primary hernial repair and colectomy in the same session were done in 33 patients (80.5%). Diversion stoma was done in 43.9% (n = 18) of the patients, of which only 3 patients underwent a hernial mesh repair in the same setting. 75.6% of patients experienced no complications. There was no correlation between the absence or presence of mesh with the use of diversion stoma (P = 0.430). Surgical management of colon cancer inside a groin hernia is challenging. A laparoscopic or laparotomy approach with oncological resection of the tumor and hernial repair in the same setting is a feasible option that may carry less morbidity. Mesh placement via pro-peritoneal, TAPP, or TEP approaches might be safer for hernial repair. Further research is needed for managing hernias with mesh in the setting of diverting stomas.

Clinical trial number: not applicable.