PMC3870124_01
An irreducible, nontender mass in the left groin.
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fig1
Physical examination revealed a nontender, irreducible mass in the left groin (Figure 1).
Coronal CT showing herniation of colon and mesentery through the inguinal canal.
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fig2
An abdominal computed tomography (CT) scan revealed an inguinal hernia-containing tumour (Figure 2).
Opening of the inguinal hernia sac revealing the sigmoid colon with spotted tumour.
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fig3
Peroperative findings were a large left-sided inguinal hernia, which contained the sigmoid colon with the spotted tumour (Figure 3).
Restoration of the abdominal wall using a mesh according to Lichtenstein.
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fig4
The remaining sigmoid colon was reduced in the peritoneal cavity and the abdominal wall was restored according to Lichtenstein (Figure 4).