A perforated diverticulum of the sigmoid colon found within a strangulated inguinal hernia

We present a rare occurrence of a perforated diverticulum of the sigmoid colon found within the contents of a strangulated left inguinal hernia in a 75-year-old man. The hernia was repaired using the Bassini technique. An end colostomy was established after resection of the diseased section of the sigmoid. We review the relevant literature and discuss the choice of repair techniques in such situations.