PT  - JOURNAL ARTICLE
AU  - Ashanga Yatawatta
TI  - Reduction en masse of inguinal hernia: a review of a rare and potential fatal complication following reduction of inguinal hernia
AID  - 10.1136/bcr-2017-220475
DP  - 2017 Aug 07
TA  - BMJ Case Reports
PG  - bcr-2017-220475
VI  - 2017
4099  - http://casereports.bmj.com/content/2017/bcr-2017-220475.short
4100  - http://casereports.bmj.com/content/2017/bcr-2017-220475.full
AB  - 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.