Late-Onset Bowel Strangulation due to Reduction En Masse of Inguinal Hernia

Incarcerated inguinal hernia is often encountered by surgeons in daily practice. Although rare, hernial reduction en masse is a potential complication of manual reduction of an incarcerated hernia. Manual reduction was performed in a case of Zollinger classification type VII (combined type) hernia i...

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Main Authors: Ikuo Watanobe, Noritoshi Yoshida, Shin Watanabe, Toshirou Maruyama, Atsushi Ihara, Kuniaki Kojima
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2014/295686
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author Ikuo Watanobe
Noritoshi Yoshida
Shin Watanabe
Toshirou Maruyama
Atsushi Ihara
Kuniaki Kojima
author_facet Ikuo Watanobe
Noritoshi Yoshida
Shin Watanabe
Toshirou Maruyama
Atsushi Ihara
Kuniaki Kojima
author_sort Ikuo Watanobe
collection DOAJ
description Incarcerated inguinal hernia is often encountered by surgeons in daily practice. Although rare, hernial reduction en masse is a potential complication of manual reduction of an incarcerated hernia. Manual reduction was performed in a case of Zollinger classification type VII (combined type) hernia in which the indirect hernia portion included an incarcerated small intestine. This procedure caused hernial reduction en masse, but this went unnoticed, and the remaining portion of the direct hernia in the inguinal region was treated surgically by the anterior approach. Because the incarcerated small bowel that had been reduced en masse was not completely obstructed, the patient’s general condition was not greatly affected, and he was able to resume eating. Twenty days after surgery, he developed sudden abdominal pain as a result of gastrointestinal perforation. When performing manual reduction of an incarcerated hernia in cases after self-reduction over a long period, the clinician should always be aware of the possibility of reduction en masse.
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institution OA Journals
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language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series Case Reports in Surgery
spelling doaj-art-60d0c5a72acd49e7b2d8f90f22246d572025-08-20T02:35:19ZengWileyCase Reports in Surgery2090-69002090-69192014-01-01201410.1155/2014/295686295686Late-Onset Bowel Strangulation due to Reduction En Masse of Inguinal HerniaIkuo Watanobe0Noritoshi Yoshida1Shin Watanabe2Toshirou Maruyama3Atsushi Ihara4Kuniaki Kojima5Department of Surgery, Asakusa Hospital, 1-10-12 Higashiasakusa, Taitou-ku, Tokyo 111-0025, JapanDepartment of Surgery, Asakusa Hospital, 1-10-12 Higashiasakusa, Taitou-ku, Tokyo 111-0025, JapanDepartment of Surgery, Asakusa Hospital, 1-10-12 Higashiasakusa, Taitou-ku, Tokyo 111-0025, JapanDepartment of Surgery, Asakusa Hospital, 1-10-12 Higashiasakusa, Taitou-ku, Tokyo 111-0025, JapanDepartment of Surgery, Asakusa Hospital, 1-10-12 Higashiasakusa, Taitou-ku, Tokyo 111-0025, JapanDivision of General Surgery, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima-Ku, Tokyo 177-8521, JapanIncarcerated inguinal hernia is often encountered by surgeons in daily practice. Although rare, hernial reduction en masse is a potential complication of manual reduction of an incarcerated hernia. Manual reduction was performed in a case of Zollinger classification type VII (combined type) hernia in which the indirect hernia portion included an incarcerated small intestine. This procedure caused hernial reduction en masse, but this went unnoticed, and the remaining portion of the direct hernia in the inguinal region was treated surgically by the anterior approach. Because the incarcerated small bowel that had been reduced en masse was not completely obstructed, the patient’s general condition was not greatly affected, and he was able to resume eating. Twenty days after surgery, he developed sudden abdominal pain as a result of gastrointestinal perforation. When performing manual reduction of an incarcerated hernia in cases after self-reduction over a long period, the clinician should always be aware of the possibility of reduction en masse.http://dx.doi.org/10.1155/2014/295686
spellingShingle Ikuo Watanobe
Noritoshi Yoshida
Shin Watanabe
Toshirou Maruyama
Atsushi Ihara
Kuniaki Kojima
Late-Onset Bowel Strangulation due to Reduction En Masse of Inguinal Hernia
Case Reports in Surgery
title Late-Onset Bowel Strangulation due to Reduction En Masse of Inguinal Hernia
title_full Late-Onset Bowel Strangulation due to Reduction En Masse of Inguinal Hernia
title_fullStr Late-Onset Bowel Strangulation due to Reduction En Masse of Inguinal Hernia
title_full_unstemmed Late-Onset Bowel Strangulation due to Reduction En Masse of Inguinal Hernia
title_short Late-Onset Bowel Strangulation due to Reduction En Masse of Inguinal Hernia
title_sort late onset bowel strangulation due to reduction en masse of inguinal hernia
url http://dx.doi.org/10.1155/2014/295686
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AT shinwatanabe lateonsetbowelstrangulationduetoreductionenmasseofinguinalhernia
AT toshiroumaruyama lateonsetbowelstrangulationduetoreductionenmasseofinguinalhernia
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