{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:42:56Z","timestamp":1787071376382,"version":"build-2736575974"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Patients in the emergency department usually present with a defined condition that can be treated. More often than not, a cause leads to a pathology that is the leading symptom, such as sigmoid carcinoma with caecal perforation. However, we very rarely see three different conditions that lead to another and require emergency treatment. We report the case of a 70-year-old male who presented with ileus, peritonitis and an incarcerated inguinal hernia. We found a gastric perforation and a desmoid tumour of the small intestine in the incarcerated inguinal hernia. An ileocecal resection, gastric suturing and a Shouldice hernioplasty were performed. The correlation between the pathologies was presumably a gastric perforation with paralytic ileus and subsequent incarceration of the existing hernia. It is important to carefully examine the abdomen for incidental findings during every operation. In cases of multiple pathologies, the connection must be explainable to ultimately resolve all problems.<\/jats:p>","DOI":"10.4103\/jmas.jmas_505_25","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T08:00:19Z","timestamp":1773388819000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Emergency involving four intra-abdominal pathologies"],"prefix":"10.4103","author":[{"given":"Antonella","family":"Vittori","sequence":"first","affiliation":[{"name":"Department of General Surgery, Brixen Hospital, Brixen, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giaime Gonario","family":"Arru","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Brixen Hospital, Brixen, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerin","family":"Agaj","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Brixen Hospital, Brixen, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uwe","family":"Gebert","sequence":"additional","affiliation":[{"name":"Department of Radiology, Brixen Hospital, Brixen, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guido","family":"Schumacher","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Brixen Hospital, Brixen, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,3,13]]},"reference":[{"key":"R1-20260313","first-page":"e49449","article-title":"Fournier's gangrene secondary to perforated sigmoid adenocarcinoma within an incarcerated inguinal Hernia","volume":"15","author":"Cairl","year":"2023","journal-title":"Cureus"},{"key":"R2-20260313","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1097\/00000658-196406000-00015","article-title":"Associated disorders with acute incarcerated groin hernia","volume":"159","author":"Craighead","year":"1964","journal-title":"Ann Surg"},{"key":"R3-20260313","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1007\/s10029-023-02742-x","article-title":"Differences in in-hospital outcomes and healthcare utilization for laparoscopic versus open approach for emergency inguinal hernia repair: A nationwide analysis","volume":"27","author":"Lee","year":"2023","journal-title":"Hernia"},{"key":"R4-20260313","doi-asserted-by":"crossref","first-page":"1429","DOI":"10.1007\/s10029-023-02902-z","article-title":"Nationwide analysis of open groin hernia repairs in Italy from 2015 to 2020","volume":"27","author":"Ortenzi","year":"2023","journal-title":"Hernia"},{"key":"R5-20260313","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1007\/s11894-017-0566-9","article-title":"A systematic review of the clinical presentation, diagnosis, and treatment of small bowel obstruction","volume":"19","author":"Rami","year":"2017","journal-title":"Curr Gastroenterol Rep"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_505_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:45:09Z","timestamp":1787067909000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_505_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,13]]},"references-count":5,"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_505_25","relation":{},"ISSN":["0972-9941","1998-3921"],"issn-type":[{"value":"0972-9941","type":"print"},{"value":"1998-3921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,13]]},"assertion":[{"value":"2025-11-18","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-03","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}