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Beware of spontaneous reduction "en masse" of inguinal hernia
1Department of Surgery, University of New South Wales, Bankstown-Lidcombe Hospital, Eldridge Road, Bankstown, NSW, 2200, Australia. berneycr@hotmail.com.
Abstract:
Reduction 'en masse' of inguinal hernia is a rare entity defined as manual reduction of an external hernia sac back through the abdominal wall but where its content still remains incarcerated or strangulated into a displaced position, most often in the pre-peritoneal space. Small bowel obstruction habitually follows requiring urgent repair, preferentially via a trans-abdominal approach. Pre-operative clinical diagnosis is difficult and abdominal CT-scan imaging is the investigation of choice.
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