<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902017000300115</article-id>
<article-id pub-id-type="doi">10.29193/rmu.33.3.6</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cáncer de colon sigmoides como contenido de una hernia inguinal izquierda]]></article-title>
<article-title xml:lang="en"><![CDATA[Sigmoid colon cancer in an incarcerated left inguinal hernia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González González]]></surname>
<given-names><![CDATA[Daniel Alfredo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tarigo]]></surname>
<given-names><![CDATA[Nicolás]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Maciel Clínica Quirúrgica 3 ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital de Clínicas Clínica Quirúrgica F ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<volume>33</volume>
<numero>3</numero>
<fpage>115</fpage>
<lpage>125</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902017000300115&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902017000300115&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902017000300115&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El cáncer de colon como contenido de una hernia inguinal es una situación infrecuente. Pocos casos se han reportado en la literatura. Habitualmente ocurre en hernias inguinales izquierdas y es el colon sigmoides su contenido. La palpación de una tumoración en una hernia que previamente no existía y la aparición de sintomatología intestinal orientan el diagnóstico. El colon por enema constituye el examen paraclínico por excelencia para su confirmación. El tratamiento quirúrgico se impone, sin embargo son posibles diversas tácticas y vías de abordaje. Se presenta el caso clínico de un paciente de 82 años con un cáncer de sigmoides como contenido de una hernia inguinal que se presentó con una tumoración sobre la hernia y alteraciones del tránsito intestinal. La ecografía de la región orientó el diagnóstico y el colon por enema confirmó una lesión intrínseca colónica. Se resolvieron ambas enfermedades por un abordaje inguinal, realizándose la sigmoidectomía oncológica y la herniorrafia sin complicaciones con una resección oncológicamente satisfactoria.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Carcinoma of the colon in an incarcerated inguinal hernia is rather an unusual condition. Few cases have been reported in literature. Usually it appears in left inguinal hernias and involves the sigmoid colon. Palpation of a tumor in a hernia that did not exist previously and the presentation of intestinal symptoms aid diagnosis. Barium enema constitutes the gold standard in paraclinical studies to confirm diagnosis. Surgical treatment is advised, although several tactics and approaches are possible. The study presents the clinical case of an 82 year-old patient with sigmoid colon cancer in an incarcerated left inguinal hernia which appeared as a tumor in the hernia and alterations in the intestinal alterations. The ultrasound suggested a possible diagnosis and the Barium enema confirmed the intrinsic colon lesion. Both lesions were solved by an inguinal approach. An oncological sigmoidectomy was performed and herniorrhaphy with no complications with a satisfactory oncological resection was achieved.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: O carcinoma de cólon em hérnia inguinal encarcerada é um achado pouco comum. Poucos casos estão relatados na literatura. De maneira geral aparece nas hérnias inguinais esquerdas e inclui o cólon sigmoide. A palpação de um tumor em uma hérnia que não existia anteriormente e a presença de sintomas intestinais ajudam o diagnóstico. O enema de bário é o gold standard dos exames auxiliares para confirmar o diagnóstico. Recomenda-se o tratamento cirúrgico, porém existem várias formas de abordagem e táticas. Este estudo descreve o caso clínico de um paciente com 82 anos com um câncer de cólon sigmoide em hérnia inguinal que se apresentou como tumor na hérnia e alterações intestinais. O ultrassom sugeria um possível diagnóstico e o enema de bário confirmou a lesão do cólon. Ambas lesões foram solucionadas em uma abordagem inguinal. Realizou-se sigmoidectomia oncológica e herniarrafia sem complicações com ressecção oncológica.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hernia inguinal]]></kwd>
<kwd lng="es"><![CDATA[Neoplasias del colon]]></kwd>
<kwd lng="en"><![CDATA[Inguinal hernia]]></kwd>
<kwd lng="en"><![CDATA[Colonic neoplasms]]></kwd>
<kwd lng="pt"><![CDATA[Hérnia inguinal]]></kwd>
<kwd lng="pt"><![CDATA[Neoplasias do colo]]></kwd>
</kwd-group>
</article-meta>
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