A case of perforated sigmoid colon, complicated with peritonitis inside the inguinal hernia scrotal sack is presented. A 91 years old male with reducible inguinal tumor from 4 years ago, that 4 days before hospitalization turns to an unyielding restitution inguinal hernia. Producing an intestinal obstruction. Sigmoidectomy with a Hartman colostomy and inguinal herniorraphy was done. Anatomopatologycal study show adenocarcinoma of colon, tubular type, with moderate differentation. TNM classification: T4 N2 M0. We comment the characteristic of this not very frequent presentation tumoral disease, and comment similar findings. A bibliography review of the subject is made.
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