Inguinal abscess revealing an incarcerated cecal tumor: a rare clinical presentation

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Autore principale: BOUALI Mounir, EL AZHARI ILIAS, ZALARH Fadoua , BOUALI Ichrak , ETTAOUSSI Abdelhak, KAMAL Khadija, MAJD Abdessamad , EL BAKOURI Abdelillah and EL HATTABI Khalid
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Pubblicazione: Zenodo 2026
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author BOUALI Mounir, EL AZHARI ILIAS, ZALARH Fadoua , BOUALI Ichrak , ETTAOUSSI Abdelhak, KAMAL Khadija, MAJD Abdessamad , EL BAKOURI Abdelillah and EL HATTABI Khalid
author_facet BOUALI Mounir, EL AZHARI ILIAS, ZALARH Fadoua , BOUALI Ichrak , ETTAOUSSI Abdelhak, KAMAL Khadija, MAJD Abdessamad , EL BAKOURI Abdelillah and EL HATTABI Khalid
contents <p class="MsoNormal"></p> <table> <tbody> <tr> <td> <table> <tbody> <tr> <td> <div class="shape"> <p class="MsoNormal"><strong><em><span>Original <span>Article</span></span></em></strong></p> </div> </td> </tr> </tbody> </table>  </td> </tr> </tbody> </table> <p class="MsoNormal"><strong><u><span>ABSTRACT :</span></u></strong><span><br></span><span>The discovery of a colonic tumor, particularly a cecal tumor, within an inguinal hernia is exceptional, especially when complicated by septic evolution. This rare situation poses significant diagnostic and therapeutic défis, particularly in an emergency setting.</span></p> <p class="MsoNormal"><span> </span></p> <p class="MsoNormal"><span>We report the case of a female patient admitted for a painful right inguinal mass, without signs of bowel obstruction. Surgical exploration revealed a perforated cecal adenocarcinoma incarcerated within the inguinal canal, complicated by a local abscess. Emergency surgical management was performed, adhering to the principles of infection control, oncological resection, and hernia repair adapted to the septic context.</span></p> <p class="MsoNormal"><span> </span></p> <p class="MsoNormal"><span>Intrahernial colonic tumors represent a rare cause of incarcerated inguinal hernia. Preoperative diagnosis is often difficult, making imaging—particularly computed tomography—essential. The surgical strategy is not standardized and must be individualized according to the patient’s condition, intraoperative findings, and the risk of infection.</span></p> <p class="MsoNormal"><span> </span></p> <p class="MsoNormal"><span>The association of an incarcerated inguinal hernia with complicated colonic cancer is rare and represents a true défi in emergency surgery. Reporting such cases contributes to a better understanding of this entity and to the optimization of its management.</span></p> <p class="MsoNormal"><strong><u><span><span> </span></span></u></strong></p> <p class="MsoNormal"><strong><u><span>Keywords:<span>  </span></span></u></strong><span>Cecal tumor ,</span><span> <span>Inguinal hernia , Incarcerated inguinal hernia , Sliding hernia , Hernia sac tumor , Inguinal abscess</span></span></p>
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spellingShingle Inguinal abscess revealing an incarcerated cecal tumor: a rare clinical presentation
BOUALI Mounir, EL AZHARI ILIAS, ZALARH Fadoua , BOUALI Ichrak , ETTAOUSSI Abdelhak, KAMAL Khadija, MAJD Abdessamad , EL BAKOURI Abdelillah and EL HATTABI Khalid
Cecal tumor , Inguinal hernia , Incarcerated inguinal hernia , Sliding hernia , Hernia sac tumor , Inguinal abscess
<p class="MsoNormal"></p> <table> <tbody> <tr> <td> <table> <tbody> <tr> <td> <div class="shape"> <p class="MsoNormal"><strong><em><span>Original <span>Article</span></span></em></strong></p> </div> </td> </tr> </tbody> </table>  </td> </tr> </tbody> </table> <p class="MsoNormal"><strong><u><span>ABSTRACT :</span></u></strong><span><br></span><span>The discovery of a colonic tumor, particularly a cecal tumor, within an inguinal hernia is exceptional, especially when complicated by septic evolution. This rare situation poses significant diagnostic and therapeutic défis, particularly in an emergency setting.</span></p> <p class="MsoNormal"><span> </span></p> <p class="MsoNormal"><span>We report the case of a female patient admitted for a painful right inguinal mass, without signs of bowel obstruction. Surgical exploration revealed a perforated cecal adenocarcinoma incarcerated within the inguinal canal, complicated by a local abscess. Emergency surgical management was performed, adhering to the principles of infection control, oncological resection, and hernia repair adapted to the septic context.</span></p> <p class="MsoNormal"><span> </span></p> <p class="MsoNormal"><span>Intrahernial colonic tumors represent a rare cause of incarcerated inguinal hernia. Preoperative diagnosis is often difficult, making imaging—particularly computed tomography—essential. The surgical strategy is not standardized and must be individualized according to the patient’s condition, intraoperative findings, and the risk of infection.</span></p> <p class="MsoNormal"><span> </span></p> <p class="MsoNormal"><span>The association of an incarcerated inguinal hernia with complicated colonic cancer is rare and represents a true défi in emergency surgery. Reporting such cases contributes to a better understanding of this entity and to the optimization of its management.</span></p> <p class="MsoNormal"><strong><u><span><span> </span></span></u></strong></p> <p class="MsoNormal"><strong><u><span>Keywords:<span>  </span></span></u></strong><span>Cecal tumor ,</span><span> <span>Inguinal hernia , Incarcerated inguinal hernia , Sliding hernia , Hernia sac tumor , Inguinal abscess</span></span></p>
title Inguinal abscess revealing an incarcerated cecal tumor: a rare clinical presentation
topic Cecal tumor , Inguinal hernia , Incarcerated inguinal hernia , Sliding hernia , Hernia sac tumor , Inguinal abscess
url https://doi.org/10.5281/zenodo.19665625