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Gastrointestinal stromal tumor (GIST) presenting as a groin mass mimicking and incarcerated hernia
INTRODUCTION: 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. PRESENTATION OF CASE: We present the case of a 59 year-old male who arrived in the Emergency Department with an irreducible ing...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Elsevier
2014
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4347961/ https://www.ncbi.nlm.nih.gov/pubmed/25544483 http://dx.doi.org/10.1016/j.ijscr.2014.09.001 |
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author | Tinoco-González, José |
author_facet | Tinoco-González, José |
author_sort | Tinoco-González, José |
collection | PubMed |
description | INTRODUCTION: 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. PRESENTATION OF CASE: 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. DISCUSSION: 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. CONCLUSIONS: Exploring the hernia sac in any complicated hernia, especially when the sac has macroscopic alterations and presence of areas of bleeding inside is essential. |
format | Online Article Text |
id | pubmed-4347961 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-43479612015-03-07 Gastrointestinal stromal tumor (GIST) presenting as a groin mass mimicking and incarcerated hernia Tinoco-González, José Int J Surg Case Rep Case Report INTRODUCTION: 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. PRESENTATION OF CASE: 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. DISCUSSION: 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. CONCLUSIONS: Exploring the hernia sac in any complicated hernia, especially when the sac has macroscopic alterations and presence of areas of bleeding inside is essential. Elsevier 2014-12-11 /pmc/articles/PMC4347961/ /pubmed/25544483 http://dx.doi.org/10.1016/j.ijscr.2014.09.001 Text en © 2014 The Authors http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/). |
spellingShingle | Case Report Tinoco-González, José Gastrointestinal stromal tumor (GIST) presenting as a groin mass mimicking and incarcerated hernia |
title | Gastrointestinal stromal tumor (GIST) presenting as a groin mass mimicking and incarcerated hernia |
title_full | Gastrointestinal stromal tumor (GIST) presenting as a groin mass mimicking and incarcerated hernia |
title_fullStr | Gastrointestinal stromal tumor (GIST) presenting as a groin mass mimicking and incarcerated hernia |
title_full_unstemmed | Gastrointestinal stromal tumor (GIST) presenting as a groin mass mimicking and incarcerated hernia |
title_short | Gastrointestinal stromal tumor (GIST) presenting as a groin mass mimicking and incarcerated hernia |
title_sort | gastrointestinal stromal tumor (gist) presenting as a groin mass mimicking and incarcerated hernia |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4347961/ https://www.ncbi.nlm.nih.gov/pubmed/25544483 http://dx.doi.org/10.1016/j.ijscr.2014.09.001 |
work_keys_str_mv | AT tinocogonzalezjose gastrointestinalstromaltumorgistpresentingasagroinmassmimickingandincarceratedhernia |