Inguinal hernias and colorectal cancers are common conditions, but the presentation of a loop of bowel containing cancer within a hernia is rare. Presented here is a case of a sigmoid cancer presenting as an incarcerated left inguinal hernia. Decision made for laparoscopic anterior resection with intra-op colonoscopy + Modified Bassini Repair . This was complicated with anastomotic bleeding which was controlled with a hemostatic stitch applied intra-corporeally.
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