{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,4]],"date-time":"2025-07-04T04:13:57Z","timestamp":1751602437248,"version":"3.41.0"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T00:00:00Z","timestamp":1751500800000},"content-version":"vor","delay-in-days":2,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Giant inguinal hernias (GIHs) are rare clinical entities, typically containing omentum or small bowel. Involvement of retroperitoneal organs, such as the pancreas and duodenum, is exceedingly uncommon due to their fixed anatomical positions. We report a unique case of a 52-year-old male with a longstanding right GIH and severe scoliosis, in whom preoperative imaging and surgical exploration revealed herniation of the pancreatic head and duodenum into the hernia sac. Contributing factors included altered retroperitoneal geometry from spinal curvature, reduced abdominal wall tone, and congenital right hip displacement with associated functional limitation. Incidental findings of multiple left hepatic duct calculi raised concerns for biliary stasis due to chronic duodenal displacement. This case highlights the importance of considering atypical hernia content in patients with longstanding hernias and complex musculoskeletal deformities, and underscores the role of comprehensive imaging and multidisciplinary assessment in surgical planning.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf471","type":"journal-article","created":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T20:49:02Z","timestamp":1751575742000},"source":"Crossref","is-referenced-by-count":0,"title":["Pancreas and duodenum herniation in a giant inguinal hernia sac in a patient with severe scoliosis: a rare case report"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2108-8595","authenticated-orcid":false,"given":"Radomir","family":"Gelevski","sequence":"first","affiliation":[{"name":"Department of Surgery, General Hospital Kumanovo , Kumanovo 1300 \u00a0","place":["North Macedonia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gjorgji","family":"Jota","sequence":"additional","affiliation":[{"name":"Ss. Cyril and Methodius University, University Clinic for Digestive Surgery , Skopje 1000 ,","place":["North Macedonia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gjorgji","family":"Trajkovski","sequence":"additional","affiliation":[{"name":"Ss. Cyril and Methodius University, Medical Faculty , Skopje 1000 ,","place":["North Macedonia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5286-3532","authenticated-orcid":false,"given":"Andrej","family":"Nikolovski","sequence":"additional","affiliation":[{"name":"Ss. Cyril and Methodius University, Medical Faculty , Skopje 1000 ,","place":["North Macedonia"]},{"name":"Department of Visceral Surgery, University Surgery Hospital \u201cSv. Naum Ohridski\u201d , Skopje 1000 ,","place":["North Macedonia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vladimir","family":"Andreevski","sequence":"additional","affiliation":[{"name":"Ss. Cyril and Methodius University, University Clinic for Gastroenterohepathology , Skopje 1000 ,","place":["North Macedonia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gjorgji","family":"Deriban","sequence":"additional","affiliation":[{"name":"Ss. Cyril and Methodius University, University Clinic for Gastroenterohepathology , Skopje 1000 ,","place":["North Macedonia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,3]]},"reference":[{"key":"2025070316485833900_ref1","doi-asserted-by":"publisher","first-page":"560","DOI":"10.9738\/INTSURG-D-13-00083.1","article-title":"Giant inguinoscrotal hernia \u2013 report of a rare case with literature review","volume":"99","author":"Karthikeyan","year":"2014","journal-title":"Int Surg"},{"key":"2025070316485833900_ref2","doi-asserted-by":"publisher","first-page":"1185","DOI":"10.1016\/j.surg.2016.12.025","article-title":"Pancreas-containing inguinal hernia in an adult with intestinal malrotation","volume":"162","author":"Ballard","year":"2017","journal-title":"Image Surg"},{"key":"2025070316485833900_ref3","doi-asserted-by":"publisher","first-page":"837","DOI":"10.1007\/s11605-012-2136-7","article-title":"Emergency repair of giant inguinoscrotal hernia in a septic patient","volume":"17","author":"Gaedcke","year":"2013","journal-title":"J Gastrointest Surg"},{"key":"2025070316485833900_ref4","doi-asserted-by":"publisher","first-page":"314","DOI":"10.1177\/10538127241301667","article-title":"Adolescent idiopathic scoliosis causes pelvic flor dysfunction: a cross-sectional study","volume":"38","author":"Dericioglu","year":"2025","journal-title":"J Back Musculoskelet Rehabil"},{"key":"2025070316485833900_ref5","doi-asserted-by":"publisher","first-page":"406","DOI":"10.18203\/2349-2902.isj20205915","article-title":"Repair of giant inguino-scrotal hernia with loss of domain using minimally invasive anterior component separation technique combined with Lichtenstein tension-free mesh hernioplasty","volume":"8","author":"Sewalia","year":"2021","journal-title":"Int Surg J"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/7\/rjaf471\/63662376\/rjaf471.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/7\/rjaf471\/63662376\/rjaf471.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T20:49:03Z","timestamp":1751575743000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf471\/8185580"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":5,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7,2]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf471","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,7]]},"published":{"date-parts":[[2025,7]]}}}