How to show hook output in Tortoise Hg log window?

I got it to work by making it an in-process hook rather than an external hook. In-process hooks are defined quite differently, however.

First, the python file needs only a single function that will be called by the name in the hook definition. The hook function is passed ui, repo, and hooktype objects. It is also passed additional objects based on the type of hook. For pretrxncommit, it is passed node, parent1, and parent2, but you're only interested in node, so the rest are gathered in kwargs. The ui object is used to give the status and error messages.

Contents of check_comment.py:

#!/usr/bin/env python

import re

def check_comment(ui, repo, hooktype, node=None, **kwargs):
    ui.status('Checking comment...\n')
    comment = repo[node].description()
    pattern = '^((Issue \d+:)|(No Issue:)).+'
    if not re.match(pattern, comment, flags=re.IGNORECASE):
        ui.warn('Comment does not match pattern. You must start it with "Issue 12323:" or "No Issue:"\n')
        return True

In the hgrc, the hook would be defined with python:/path/to/file.py:function_name, like this:

[hooks]
pretxncommit.check_comment = python:/path/to/check_comment.py:check_comment

The .suffix_name on pretxncommit is to avoid overriding any globally defined hook, especially if this is defined in the repository's hgrc rather than the global one. Suffixes are how one allows multiple responses to the same hook.