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24 October 2019 : Case report  South Korea

Reduction En-masse of Inguinal Hernia with Incarcerated Bowel: Report of a Rare Case

Rare disease

Jiyeon Baik1ADEF, Yedaun Lee2DEF*

DOI: 10.12659/AJCR.918059

Am J Case Rep 2019; 20:1562-1565

Abstract

BACKGROUND: Reduction en-masse of an inguinal hernia is a very uncommon condition in which a hernia sac migrates into the preperitoneal space containing an incarcerated bowel loop.

CASE REPORT: A 76-year-old male patient with a 4-year history of reducible left inguinal hernia complained of abdominal pain for 2 h before admission. Contrast-enhanced computed tomographic (CT) images revealed a small bowel obstruction with dilatation from the distal jejunum to the proximal ileum and a closed-loop obstruction showing a 6.2-cm oval-shaped sac in the preperitoneal space.

CONCLUSIONS: Diagnosis of reduction en-masse of inguinal hernia is often challenging due to the infrequency of its occurrence, although it has specific CT findings. The present case report suggests that clinical and radiological awareness are very important for accurate diagnosis and management in patients with reduction en-masse of an inguinal hernia.

Keywords: Hernia, Inguinal, Intestinal Obstruction, multidetector computed tomography, Abdominal Pain, herniorrhaphy, Intestine, Small

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923