{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:07:17Z","timestamp":1753877237537,"version":"3.41.2"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T00:00:00Z","timestamp":1740700800000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Inguinal hernias are the most common type of abdominal wall hernias, often requiring surgical intervention. Mesothelioma, a rare cancer associated with the linings of serous cavities, can occasionally be found in hernia sacs. This paper presents the case of a 38-year-old male with an incidental diagnosis of stage 4 pleural mesothelioma discovered during a routine inguinal hernia repair. Despite being asymptomatic, the patient's hernia sac examination revealed mesothelioma, which was confirmed through histopathological analysis and imaging. This rare finding underscores the importance of thorough examination and comprehensive oncological evaluation when unusual findings are encountered during routine surgeries. The case highlights the necessity for awareness and vigilance in similar scenarios to potentially improve patient outcomes.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf099","type":"journal-article","created":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T22:19:06Z","timestamp":1741126746000},"source":"Crossref","is-referenced-by-count":1,"title":["Incidental finding of metastatic mesothelioma in an inguinal hernia sac: a case report"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-3173-1942","authenticated-orcid":false,"given":"Ahmad","family":"Al-Bitar","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Damascus University , Damascus ,","place":["Syria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Shwin","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Damascus University , Damascus ,","place":["Syria"]},{"name":"Department of Surgery, Damascus Hospital , Damascus ,","place":["Syria"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,2,28]]},"reference":[{"key":"2025030422185096300_ref1","doi-asserted-by":"publisher","first-page":"bcr2016215920","DOI":"10.1136\/bcr-2016-215920","article-title":"What is inside the hernia sac?","volume":"2016","author":"Virg\u00ednia","year":"2016","journal-title":"BMJ Case Rep"},{"key":"2025030422185096300_ref2","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1272\/jnms.83.93","article-title":"Right inguinal hernia encompassing the uterus, right ovary and fallopian tube in an elderly female: case report","volume":"83","author":"Ueda","year":"2016","journal-title":"J Nippon Med Sch"},{"key":"2025030422185096300_ref3","doi-asserted-by":"publisher","first-page":"436","DOI":"10.1186\/s13256-024-04763-1","article-title":"When an inguinal hernia is more than just a hernia with ovary and fallopian tube involvement: a case report","volume":"18","author":"Ariaya","year":"2024","journal-title":"J Med Case Rep"},{"key":"2025030422185096300_ref4","doi-asserted-by":"publisher","first-page":"941","DOI":"10.1016\/S0039-6109(05)70363-7","article-title":"Epidemiologic, economic, and sociologic aspects of hernia surgery in the United States in the 1990s","volume":"78","author":"Rutkow","year":"1998","journal-title":"Surg Clin North Am"},{"key":"2025030422185096300_ref5","doi-asserted-by":"publisher","first-page":"1588","DOI":"10.5858\/2001-125-1588-UCCVOE","article-title":"Unusual clear cell variant of epithelioid mesothelioma","volume":"125","author":"Dessy","year":"2001","journal-title":"Arch Pathol Lab Med"},{"key":"2025030422185096300_ref6","doi-asserted-by":"publisher","first-page":"1083","DOI":"10.1016\/j.ejso.2016.12.005","article-title":"Management of an inguinal hernia in patients with pseudomyxoma peritonei","volume":"43","author":"Sugarbaker","year":"2017","journal-title":"Eur J Surg Oncol"},{"key":"2025030422185096300_ref7","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1007\/s00595-004-2920-4","article-title":"Primary malignant peritoneal mesothelioma in an incarcerated groin hernia: report of a case","volume":"35","author":"Testini","year":"2005","journal-title":"Surg Today"},{"key":"2025030422185096300_ref8","first-page":"636","article-title":"Incidental finding of a malignant peritoneal mesothelioma in an inguinal hernia sac: report of a case","volume":"27","author":"Chatzipantelis","year":"2006","journal-title":"Eur J Gynaecol Oncol"},{"key":"2025030422185096300_ref9","doi-asserted-by":"publisher","first-page":"483","DOI":"10.1111\/j.1349-7006.2011.02165.x","article-title":"National survey of malignant mesothelioma and asbestos exposure in Japan","volume":"103","author":"Gemba","year":"2012","journal-title":"Cancer Sci"},{"key":"2025030422185096300_ref10","doi-asserted-by":"publisher","first-page":"397","DOI":"10.1016\/j.urology.2005.03.012","article-title":"Malignant mesothelioma of the tunica vaginalis","volume":"66","author":"Spiess","year":"2005","journal-title":"Urology"},{"key":"2025030422185096300_ref11","doi-asserted-by":"publisher","first-page":"605","DOI":"10.1016\/j.ctrv.2011.10.006","article-title":"Diffuse malignant peritoneal mesothelioma \u2013 an update on treatment","volume":"38","author":"Mirarabshahii","year":"2012","journal-title":"Cancer Treat Rev"},{"key":"2025030422185096300_ref12","doi-asserted-by":"publisher","first-page":"605","DOI":"10.1016\/s1055-3207(03)00045-0","article-title":"A review of peritoneal mesothelioma at the Washington Cancer Institute","volume":"12","author":"Sugarbaker","year":"2003","journal-title":"Surg Oncol Clin N Am"},{"key":"2025030422185096300_ref13","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1016\/j.ijscr.2020.03.005","article-title":"Malignant peritoneal mesothelioma presenting as a mass in a spigelian hernia. Report of a case","volume":"68","author":"Sugarbaker","year":"2020","journal-title":"Int J Surg Case Rep"},{"key":"2025030422185096300_ref14","doi-asserted-by":"publisher","first-page":"748","DOI":"10.1002\/dc.21084","article-title":"Fine-needle aspiration of a well-differentiated papillary mesothelioma in the inguinal hernia sac: a case report and review of literature","volume":"37","author":"Wheeler","year":"2009","journal-title":"Diagn Cytopathol"},{"key":"2025030422185096300_ref15","doi-asserted-by":"publisher","first-page":"e107","DOI":"10.1308\/147870811X591657","article-title":"Peritoneal mesothelioma masquerading as an inguinal hernia","volume":"93","author":"Chakravartty","year":"2011","journal-title":"Ann R Coll Surg Engl"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/2\/rjaf099\/62206842\/rjaf099.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/2\/rjaf099\/62206842\/rjaf099.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T22:19:09Z","timestamp":1741126749000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf099\/8046270"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,2,3]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf099","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2025,2]]},"published":{"date-parts":[[2025,2]]},"article-number":"rjaf099"}}