A laparoscopic high anterior resection for sigmoid cancer with extraction through incarcerated left inguinal hernia repaired with Permacol mesh.

A 65-year-old man presented to the general surgical outpatients with an incarcerated left inguinal hernia. Initial investigations revealed an iron deficiency anaemia that was investigated with a colonoscopy and gastroscopy. This revealed a sigmoid cancer and the staging CT scan confirmed a tumour incarcerated in the sac of the left inguinal hernia.

Rupture of an inferior epigastric artery pseudo-aneurysm following laparoscopic port insertion.

Laparoscopic port insertion is a potential cause of trauma to the inferior epigastric artery, resulting in pseudo-aneurysm formation. Treatment of pseudo-aneurysms includes thrombin injection, coil embolisation, embolisation with N-butyl cyanoacrylate, compression therapy or surgical excision and ligation. The authors present a case of pseudo-aneurysm caused by port insertion during laparoscopic sigmoid colectomy.