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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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Autor principal: Tinoco-González, José
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2014
Materias:
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.
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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
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