{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:44:02Z","timestamp":1790642642533,"version":"4.1.0"},"reference-count":9,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p> Inguinal hernia is a potentially occult common surgical condition. Its association with asymptomatic adenocarcinoma is uncommon. However, malignancy-associated perforation of the large bowel within an irreducible hernia is rare. We report a case of 78-year-old male presenting with a long-standing inguinal hernia with a 2-day history of irreducibility. Examination revealed a large left-sided irreducible inguinal hernia. Patient underwent urgent inguinal herniotomy, during which multiple perforations were noted in the sigmoid colon. Patient underwent Hartmann\u2019s procedure following bowel resection. Histology revealed a mucinous adenocarcinoma with extensive metastasis involving the resection margins. Elderly patients with long-standing inguinal hernia presenting with acute symptoms should be evaluated further for this rare but sinister diagnosis. <\/jats:p>","DOI":"10.1177\/2050313x231164490","type":"journal-article","created":{"date-parts":[[2023,3,28]],"date-time":"2023-03-28T08:55:45Z","timestamp":1679993745000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Perforated sigmoid colon adenocarcinoma within an irreducible inguinal hernia: A case report"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6068-6081","authenticated-orcid":false,"given":"PG Nadun","family":"Danushka","sequence":"first","affiliation":[{"name":"Department of Surgery, The National Hospital of Sri Lanka, Colombo, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravindri","family":"Jayasinghe","sequence":"additional","affiliation":[{"name":"Department of Surgery, The National Hospital of Sri Lanka, Colombo, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamal","family":"Dunusinghe","sequence":"additional","affiliation":[{"name":"Department of Surgery, The National Hospital of Sri Lanka, Colombo, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,3,28]]},"reference":[{"issue":"1431","key":"bibr1-2050313X231164490","first-page":"93","volume":"129","author":"Kulasegaran S","year":"2016","journal-title":"N Z Med J"},{"key":"bibr2-2050313X231164490","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2003.02623.x"},{"key":"bibr3-2050313X231164490","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-008-0388-0"},{"key":"bibr4-2050313X231164490","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-7-206"},{"key":"bibr5-2050313X231164490","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-002-2552-5"},{"key":"bibr6-2050313X231164490","doi-asserted-by":"publisher","DOI":"10.1177\/000313481608201112"},{"issue":"1","key":"bibr7-2050313X231164490","first-page":"26","volume":"61","author":"Maksimovi\u0107 S","year":"2007","journal-title":"Med Arh"},{"key":"bibr8-2050313X231164490","doi-asserted-by":"publisher","DOI":"10.3348\/kjr.2010.11.2.231"},{"key":"bibr9-2050313X231164490","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(90)71200-X"}],"container-title":["SAGE Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X231164490","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X231164490","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X231164490","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T22:15:40Z","timestamp":1741040140000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X231164490"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":9,"alternative-id":["10.1177\/2050313X231164490"],"URL":"https:\/\/doi.org\/10.1177\/2050313x231164490","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"value":"2050-313X","type":"print"},{"value":"2050-313X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"article-number":"2050313X231164490"}}