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Case Reports in Medicine
Volume 2015, Article ID 105183, 3 pages
Case Report

An Incarcerated Colon Inguinal Hernia That Perforated into the Scrotum and Exhibited an Air-Fluid Level

1Department of Internal Medicine, Himeji St. Mary’s Hospital, 650 Nibuno, Himeji 670-0801, Japan
2Department of Surgery, Himeji St. Mary’s Hospital, 650 Nibuno, Himeji 670-0801, Japan
3Department of Radiology, Himeji St. Mary’s Hospital, 650 Nibuno, Himeji 670-0801, Japan

Received 18 December 2014; Accepted 27 April 2015

Academic Editor: Robert A. Kozol

Copyright © 2015 Seisuke Ota et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


There are few reports of a transverse colon inguinal hernia; furthermore, an inguinal hernia perforating the scrotum is rare. Here we report the case of a 79-year-old man who died after developing an incarcerated colon inguinal hernia that perforated the scrotum and exhibited an air-fluid level. The patient was referred to our hospital in November 2011 with a complaint of inability to move. Physical examination revealed an abnormally enlarged left scrotum and cold extremities. He reported a history of gastric cancer that was surgically treated more than 30 years ago. His white blood cell count and C-reactive protein level were elevated. Abdominal and inguinal computed tomography revealed that his transverse colon was incarcerated in the left inguinal canal. Free air and air-fluid level were observed around the transverse colon, suggestive of a perforation. The patient and his family refused any surgical intervention; therefore, he was treated with sultamicillin tosilate hydrate and cefotiam hydrochloride. However, he succumbed to panperitonitis 19 days after admission. The findings from this case indicate that the transverse colon can perforate into an inguinal hernia sac.