Very Early Onset of Fistulizing Inflammatory Bowel Disease With RIPK1 Mutation: A Case Report

Infantile inflammatory bowel disease (IBD) is a very rare subgroup of IBD that develops in children younger than two years with genetic susceptibility, especially in those with monogenic defects. This type, when compared with IBD in older children, is more resistant to conventional medical treatment and presents with more complications that require more surgical interventions. Our patient is a male with first-degree consanguineous parents. He was 16 months old when he presented with multiple perianal fistulas, fissures, abscesses, diarrhea, fever, and failure to thrive. He underwent a protective double-barrel ileostomy and surgical repair of the perianal disease. Crohn's disease was confirmed after endoscopy and biopsy. A genetic workup was done and revealed receptor-interacting protein kinase 1 (RIPK1) mutations. Conventional pediatric IBD treatment was initiated after surgery, including tumor necrosis factor antagonist adalimumab 40 mg subcutaneously weekly for five months. Despite treatment, he presented with dysuria and a colovesical fistula. The patient underwent secondary surgical repair.

Sigmoid colon cancer presenting as a left inguinal hernia: a case report

Introduction

Inguinal hernias are common and typically include a portion of abdominal organs. However, there have been reports of additional peculiar content.

Case presentation

The authors present the case of a 68-year-old man with sigmoid colon cancer presenting as a left inguinal hernia.

Discussion

Colorectal cancer is a unique component that can be identified within inguinal hernias and is a prevalent problem among affected individuals because such a presentation is unusual.

Conclusion

Surgeons should be aware of this risk when operating on inguinal hernias in order to prevent ineffective care. The best course of action may be appropriate exploration and oncological excision when underlying colon cancer is suspected after a hernial procedure.