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A rare case of ascending colon adenocarcinoma incarcerated in an inguinoscrotal hernia: case report and literature review

Overview of attention for article published in Surgical Case Reports, May 2018
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Title
A rare case of ascending colon adenocarcinoma incarcerated in an inguinoscrotal hernia: case report and literature review
Published in
Surgical Case Reports, May 2018
DOI 10.1186/s40792-018-0457-9
Pubmed ID
Authors

Tien Yew Chern, Yeng Kwang Tay, Dayashan Shevantha Perera

Abstract

Inguinal hernias and colorectal cancers are common conditions, but the presentation of a loop of bowel containing cancer within a hernia is rare. Principles of surgery include oncological resection of the involved colonic segment as well as lymphatic drainage. Based on case reports of the last several decades, there have been no reports of a case where the reduction of an inguinoscrotal hernia and oncological colectomy were performed completely laparoscopically. We present the first instance of a completely laparoscopically assisted resection and hernia repair on a patient with T4 ascending colon cancer. A literature search on recent case reports over the last 30 years has also been presented with a focus on trends in treatment. An 83-year-old man presented for further investigation of his iron deficiency anaemia and was diagnosed with adenocarcinoma of the ascending colon. This was demonstrated radiologically to be found within a large right inguinoscrotal hernia. He underwent a laparoscopically assisted right hemicolectomy and laparoscopic closure of the internal ring and recovered well. Colorectal cancers within inguinal hernias are rare and can often present with complications such as perforation. As such, treatment has mostly involved an open operation. The last few years have shown feasibility of a laparoscopic approach and can be attempted safely when indicated.

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Geographical breakdown

Country Count As %
Unknown 17 100%

Demographic breakdown

Readers by professional status Count As %
Other 3 18%
Student > Doctoral Student 2 12%
Student > Bachelor 2 12%
Student > Master 2 12%
Researcher 2 12%
Other 0 0%
Unknown 6 35%
Readers by discipline Count As %
Medicine and Dentistry 9 53%
Unknown 8 47%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 May 2018.
All research outputs
#20,504,518
of 23,070,218 outputs
Outputs from Surgical Case Reports
#243
of 496 outputs
Outputs of similar age
#289,841
of 330,209 outputs
Outputs of similar age from Surgical Case Reports
#8
of 11 outputs
Altmetric has tracked 23,070,218 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 496 research outputs from this source. They receive a mean Attention Score of 0.9. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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