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A laparoscopic high anterior resection for sigmoid cancer with extraction through incarcerated left inguinal hernia

William Reginald Joseph Carr¹, Graham O'Dair

¹Northern Deanary, Durham, UK. wrjcarr@doctors.org.uk

BMJ Case Reports

|September 25, 2012

Abstract:

A 65-year-old man presented to the general surgical outpatients with an incarcerated left inguinal hernia. Initial investigations revealed an iron deficiency anaemia that was investigated with a colonoscopy and gastroscopy. This revealed a sigmoid cancer and the staging CT scan confirmed a tumour incarcerated in the sac of the left inguinal hernia. We proceeded with a laparoscopic high anterior resection using the inguinal hernia as the extraction site. The hernia was repaired using Permacol mesh. No postoperative complications occurred.

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