We present the case of a 44-year-old @entity1 who presented with @entity390 , @entity391 and acute @entity158 in the right groin. On physical examination an irreducible mass was palpated in the right inguinal region. Ultrasound suggested an @entity169 with bowel contents. Subsequent right inguinal exploration revealed only unspecified necrotizing tissue, but no @entity547 sac or bowel contents were identified. Two days later laparotomy was required since the inguinal wound produced @entity3389 . The sigmoid appeared to be @entity39 and perforated, and was subsequently resected. Histology revealed a perforated @entity420 without lymph node involvement. Incarcerated @entity169 containing an @entity694 are rare, but should be considered in @entity1 presenting with an irreducible palpable mass in the inguinal region. Moreover, a @entity189 of the sigmoid may invade the right inguinal region. An intestinal perforation to skin-level in this population is even rarer and is associated with high morbidity and mortality rates.

@entity189 of the sigmoid presenting as a right inguinal XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'man'] @entity390 :: ('MESH:D009325', 'Disease') :: ['nausea'] @entity39 :: ('MESH:D009336', 'Disease') :: ['necrotic'] @entity391 :: ('MESH:D014839', 'Disease') :: ['vomiting'] @entity189 :: ('MESH:D002277', 'Disease') :: ['carcinoma'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity547 :: ('MESH:D006547', 'Disease') :: ['hernia'] @entity3389 :: ('MESH:D019522', 'Disease') :: ['faecal discharge'] @entity169 :: ('MESH:D006552', 'Disease') :: ['inguinal hernias', 'inguinal hernia sac'] @entity694 :: ('MESH:D003110', 'Disease') :: ['adenocarcinoma of the colon'] @entity420 :: ('MESH:D000230', 'Disease') :: ['adenocarcinoma']
@entity547 :: (MESH:D006547,Disease) :: ['hernia']
