{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:47:50Z","timestamp":1782604070807,"version":"3.54.5"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2014,7,16]],"date-time":"2014-07-16T00:00:00Z","timestamp":1405468800000},"content-version":"vor","delay-in-days":196,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>Colorectal cancer and inguinal hernias are both common surgical pathologies in the elderly but rarely co-exist. Where the conditions overlap, there can be difficulties in both diagnosis and treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PRESENTATION OF CASE:<\/jats:title>\n                    <jats:p>A 78 year old man with unexplained iron deficiency anaemia was investigated for gastrointestinal cancer. He was found to have enlarging bilateral inguinoscrotal hernias. CT colonoscopy revealed a herniated caecal carcinoma contained within the scrotum. An open excision was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>Iron deficiency anaemia without obvious bleeding is associated with colorectal cancer and should be thoroughly investigated. Asymptomatic inguinal hernias are often ignored by patients. However, a change in an existing hernia may be associated with neoplasia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Dual pathology raises new difficulties in assessment, investigation and management of colorectal cancer.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2014.07.012","type":"journal-article","created":{"date-parts":[[2014,8,12]],"date-time":"2014-08-12T11:17:28Z","timestamp":1407842248000},"page":"643-645","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":9,"title":["Intrasaccular caecal adenocarcinoma presenting as enlarging right inguinoscrotal hernia"],"prefix":"10.1097","volume":"5","author":[{"given":"Max","family":"Marsden","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Curtis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaun","family":"McGee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Bracey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graham","family":"Branagan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Sleight","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R2-1-20260114","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1038\/sj.bjc.6604165","article-title":"The importance of anaemia in diagnosing colorectal cancer: a case-control study using electronic primary care records","volume":"98","author":"Hamilton","year":"2008","journal-title":"Br J Cancer"},{"key":"R3-1-20260114","first-page":"146","article-title":"Surprises in hernial sacs; diagnosis of tumors by microscopic examination","volume":"91","author":"Yoell","year":"1959","journal-title":"Calif Med"},{"key":"R4-1-20260114","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1007\/s10151-008-0388-0","article-title":"Colonic carcinoma presenting as strangulated inguinal hernia: report of two cases and review of the literature","volume":"12","author":"Slater","year":"2008","journal-title":"Tech Coloproctol"},{"key":"R5-1-20260114","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.1046\/j.1365-2036.2002.01263.x","article-title":"Inguinal hernia is not a sign of colon cancer: results of a prospective screening trial","volume":"16","author":"Avidan","year":"2002","journal-title":"Aliment Pharmacol Ther"},{"key":"R6-1-20260114","doi-asserted-by":"crossref","first-page":"1914","DOI":"10.1111\/j.1572-0241.2001.03786.x","article-title":"Is colorectal cancer screening necessary in the preoperative assessment of inguinal herniorrhaphy? A case-control study","volume":"96","author":"Gerson","year":"2001","journal-title":"Am J Gastroenterol"},{"key":"R7-1-20260114","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/S0016-5107(03)02715-9","article-title":"Colorectal cancer screening in patients presenting with an inguinal hernia: is it necessary?","volume":"59","author":"Avidan","year":"2004","journal-title":"Gastrointest Endosc"},{"key":"R8-1-20260114","doi-asserted-by":"crossref","first-page":"1681","DOI":"10.1111\/j.1742-1241.2006.00862.x","article-title":"Unusual diagnoses presenting as incarcerated inguinal hernia: a case report and review of the literature","volume":"60","author":"Bunting","year":"2006","journal-title":"Int J Clin Pract"},{"key":"R9-1-20260114","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1007\/s00595-002-2552-5","article-title":"Perforated carcinoma of the sigmoid colon in an incarcerated inguinal hernia: report of a case","volume":"33","author":"Kouraklis","year":"2003","journal-title":"Surg Today"},{"key":"R10-1-20260114","first-page":"E31","article-title":"Carcinoma of the sigmoid colon in an incarcerated inguinal hernia","volume":"52","author":"Ruiz-Tovar","year":"2009","journal-title":"Can J Surg"},{"key":"R12-1-20260114","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1046\/j.0007-1323.2001.02030.x","article-title":"Randomized clinical trial of non-mesh versus mesh repair of primary inguinal hernia","volume":"89","author":"Vrijland","year":"2002","journal-title":"Br J Surg"},{"key":"R13-1-20260114","first-page":"CD001543","article-title":"Shouldice technique versus other open techniques for inguinal hernia repair","volume":"4","author":"Amato","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"R14-1-20260114","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1007\/s00595-010-4247-7","article-title":"Laparoscopic treatment of a carcinoma of the cecum incarcerated in a right groin hernia: report of a case","volume":"41","author":"Pernazza","year":"2011","journal-title":"Surg Today"},{"key":"R15-1-20260114","doi-asserted-by":"crossref","first-page":"1375","DOI":"10.1007\/s00595-013-0664-8","article-title":"Elective laparoscopic surgery for sigmoid colon carcinoma incarcerated within an inguinal hernia: report of a case","volume":"44","author":"Kanemura","year":"2014","journal-title":"Surg Today"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261214001667?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261214001667?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201405100-00001","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:14:57Z","timestamp":1768396497000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201405100-00001"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,1]]},"references-count":13,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2014]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2014.07.012","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2014,1]]}}}