{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:58:26Z","timestamp":1768435106357,"version":"3.49.0"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2014,9,5]],"date-time":"2014-09-05T00:00:00Z","timestamp":1409875200000},"content-version":"vor","delay-in-days":0,"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":[[2015,1]]},"abstract":"Abstract<\/jats:title>\n \n Introduction<\/jats:title>\n The contents of a hernial sac can harbor preperitoneal fat, epiploon or some hollow viscera, with a malignant lesion in its interior being an unusual finding.<\/jats:p>\n <\/jats:sec>\n \n Presentation of case<\/jats:title>\n We present the case of a 59 year-old male who arrived in the Emergency Department with an irreducible inguinal hernia, with no local signs of vascular compromise. The diagnosis was made after examining the hernia sac, using an inguinal approach, showing evidence of a largely necrosed gelatinous mass, which was resected by mid-line infraumbilical laparotomy. The mass was diagnosed as a high risk gastrointestinal stromal tumor.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n GIST are characterized by the absence of symptoms in most cases. The unusual presentation, as incarcerated hernia, allowed the diagnosis of this disease. The tumor measured 6 cm with a mitotic index greater than 5\/50 CGA tumor is classified as high risk. The finding of a thickened peritoneum proceeded to opening. The exploration of the sac is critical.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Exploring the hernia sac in any complicated hernia, especially when the sac has macroscopic alterations and presence of areas of bleeding inside is essential.<\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2014.09.001","type":"journal-article","created":{"date-parts":[[2014,12,11]],"date-time":"2014-12-11T14:50:25Z","timestamp":1418309425000},"page":"166-168","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Gastrointestinal stromal tumor (GIST) presenting as a groin mass mimicking and incarcerated hernia"],"prefix":"10.1097","volume":"6","author":[{"given":"Jos\u00e9","family":"Tinoco-Gonz\u00e1lez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-47-20260114","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1053\/hupa.2002.123545","article-title":"Diagnosis of gastrointestinal stromal tumors: a consensus approach","volume":"33","author":"Fletcher","year":"2002","journal-title":"Hum Pathol"},{"key":"R2-47-20260114","first-page":"3","article-title":"Gastrointestinal stromal tumors (GISTs): definition, ocurrence, pathology, differential diagnosis, and molecular genetics","volume":"54","author":"Miettinem","year":"2003","journal-title":"Pol J Pathol"},{"key":"R3-47-20260114","first-page":"566","article-title":"Consensus meeting for the management of gastrointestinal stromal tumors","volume":"16","author":"Blay","year":"2005","journal-title":"Report of the GIST Consensus Conference of 20\u201321 March 2004, under the auspices of ESMO, Ann Oncol"},{"key":"R4-47-20260114","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1007\/s00268-003-6826-x","article-title":"Risk and outcome of bowel resection in patients with incarcerated groin hernias: retrospective study","volume":"27","author":"Kurt","year":"2003","journal-title":"World J Surg"},{"key":"R5-47-20260114","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1007\/s10029-004-0311-9","article-title":"Tension-free repair versus modified Bassini technique (Andrews technique) for strangulated inguinal hernia: a comparative study","volume":"9","author":"Papaziogas","year":"2005","journal-title":"Hernia"},{"key":"R6-47-20260114","doi-asserted-by":"crossref","first-page":"145","DOI":"10.4414\/smw.2004.10530","article-title":"Management of gastrointestinal stromal tumors: from diagnosis to treatment","volume":"134","author":"Bucher","year":"2004","journal-title":"Swiss Med Wkly"},{"key":"R7-47-20260114","first-page":"1259","article-title":"Gastrointestinal pacemeaker cell tumor (GIPACT). Gastrointestinal stromal tumors show phenotypic characteristics of interstitial cells of Cajal","volume":"152","author":"Kinblom","year":"1998","journal-title":"Am J Pathol"},{"key":"R8-47-20260114","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1097\/00000658-200001000-00008","article-title":"Two hundred gastrointestinal stromal tumors: recurrence patterns and prognostic factors for survival","volume":"231","author":"DeMatteo","year":"2000","journal-title":"Ann Surg"},{"key":"R9-47-20260114","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1097\/01.pas.0000146010.92933.de","article-title":"Gastrointestinal stromal tumors of the stomach: a clinicopathologic, immunohistochemical, and molecular genetic study of 1765 cases with long-term follow-up","volume":"29","author":"Miettinem","year":"2005","journal-title":"Am J Surg Pathol"},{"key":"R10-47-20260114","doi-asserted-by":"crossref","first-page":"1052","DOI":"10.1056\/NEJM200104053441404","article-title":"Effect of the tyrosine kinase inhibitor STI571 in a patient with metastatic gastrointestinal stromal tumor","volume":"344","author":"Joenssu","year":"2001","journal-title":"N Engl J Med"},{"key":"R11-47-20260114","doi-asserted-by":"crossref","first-page":"1241","DOI":"10.1111\/j.1349-7006.2000.tb00910.x","article-title":"Allelic loss of 14q and 22q, NF2 mutation, and genetic instability occur independently of c-KIT mutation in gastrointestinal stromal tumor","volume":"91","author":"Fukasawa","year":"2000","journal-title":"Jpn J Cancer Res"},{"key":"R12-47-20260114","doi-asserted-by":"crossref","first-page":"S39","DOI":"10.1016\/S0959-8049(02)80602-5","article-title":"Pathology and diagnostic criteria of gastrointestinal stromal tumors (GISTs): a review","volume":"38","author":"Miettinem","year":"2002","journal-title":"Eur J Cancer"}],"updated-by":[{"DOI":"10.1016\/j.ijscr.2015.02.040","type":"erratum","label":"Erratum","source":"publisher","updated":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000}}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261214002089?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261214002089?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201506000-00047","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:33:52Z","timestamp":1768397632000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201506000-00047"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1]]},"references-count":12,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2015]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2014.09.001","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2015,1]]}}}