{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T14:38:37Z","timestamp":1764859117812,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,4,13]]},"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:p>We present a patient with perforated diverticulitis contained within an inguinal hernia sac\u2014a diagnostic and treatment dilemma. A 61-year-old man presented to the emergency department with left testicular and groin pain, and loose stool. CT imaging showed a left inguinal hernia containing a perforated segment of sigmoid colon. A segmental sigmoidcolectomyy and end colostomy Hartmannn\u2019s procedure) was performed after reducing the incarcerated inguinal contents. The inguinal hernia was not repaired because of faecal contamination of the hernia sac and risk for recurrence. Pathological examination of theresectedd bowel specimen showed perforated sigmoid diverticulitis in an inguinal hernia sac. The patient had an uneventful recovery and is awaiting definitive inguinal hernia repair andtakedownn of his colostomy.<\/jats:p>","DOI":"10.1136\/bcr-2018-227990","type":"journal-article","created":{"date-parts":[[2019,5,7]],"date-time":"2019-05-07T12:24:41Z","timestamp":1557231881000},"page":"e227990","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Perforated diverticulitis of the sigmoid colon contained within an inguinal hernia sac"],"prefix":"10.1136","volume":"12","author":[{"given":"Alexander J","family":"Piszker","sequence":"first","affiliation":[{"name":"School of Osteopathic Medicine, Alabama College of Osteopathic Medicine, Dothan, Alabama, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yongjin F","family":"Lee","sequence":"additional","affiliation":[{"name":"Colon & Rectal Surgery, St. Joseph Mercy Ann Arbor, Ypsilanti, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob E","family":"Roberts","sequence":"additional","affiliation":[{"name":"General Surgery, St. Mary Mercy Livonia, Livonia, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert K","family":"Cleary","sequence":"additional","affiliation":[{"name":"Colon & Rectal Surgery, St. Joseph Mercy Ann Arbor, Ypsilanti, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,5,6]]},"reference":[{"key":"2025082707255987000_12.5.e227990.1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.4111\/kju.2015.56.1.3","article-title":"Scrotal pain: evaluation and management","volume":"56","author":"Gordhan","year":"2015","journal-title":"Korean J Urol"},{"key":"2025082707255987000_12.5.e227990.2","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1023\/B:DDAS.0000030104.86885.a2","article-title":"Perforation of a solitary diverticulum of sigmoid colon in an incarcerated scrotal hernia","volume":"49","author":"Kouraklis","year":"2004","journal-title":"Dig Dis Sci"},{"key":"2025082707255987000_12.5.e227990.3","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1007\/s10029-007-0308-2","article-title":"A perforated diverticulum of the sigmoid colon found within a strangulated inguinal hernia","volume":"12","author":"Tufnell","year":"2008","journal-title":"Hernia"},{"key":"2025082707255987000_12.5.e227990.4","unstructured":"Petersen L , Valentino D . 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