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CASE REPORT
Reduction en masse of inguinal hernia: a review of a rare and potential fatal complication following reduction of inguinal hernia
  1. Ashanga Yatawatta
  1. Department of Surgery, University of Texas Medical Branch at Galveston, Galveston, Texas, USA
  1. Correspondence to Dr Ashanga Yatawatta, ayatawatta{at}gmail.com

Summary

Reduction en masse is reduction of a hernial sac into the pre-peritoneal space with a loop of bowel remaining incarcerated at the neck of the sac, leading to early strangulation. This is a rare complication, usually encountered with inguinal hernias, with a false reassurance to the patient and the treating physician that complete reduction has been achieved. Unless early intervention is carried out, this condition will typically present with worsening pain and absence of an appreciable hernia bulge at the groin, and intestinal necrosis may be encountered on exploration. The outcome will depend on the severity of peritonitis/sepsis, and mortality remains high for late presentations. A case of early presentation of reduction en masse of an inguinal hernia is reported with a review of the existing literature.

  • General Surgery
  • Gastrointestinal Surgery

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Footnotes

  • Contributors AY was responsible for the concept, design and writing the manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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