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Gastrointestinal stromal tumour in an inguinal hernial sac: an unusual presentation
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  • Published on:
    Author's reply

    Dear Editor

    We agree with V Ramachandran that the presence of blood in an empty hernial sac should have prompted the surgeon to perform an exploratory laparotomy. The case report reinforces this basic surgical principle and highlights that intra-abdominal malignancy may rarely present as an inguinal mass and lead to blood in the sac.

    Conflict of Interest:
    None declared.
  • Published on:
    Improper surgical technique

    Dear Editor

    In the case reported by Goyal et al. regarding the presence of a gastrointestinal tumour in a hernial sac, it appears that poor surgery is being passed off as a "lesson" to be learnt by the readers. The presence of a haematoma in an otherwise empty hernial sac should definitely alert the surgeon to the presence of strangulated bowel which has probably reduced into the peritoneal cavity. Having ma...

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    Conflict of Interest:
    None declared.