2010 Volume 35 Issue 1 Pages 51-55
Inguinal hernia reduction en masse is a rare condition in which the intestines and hernial sac come together, the intestines are incarcerated, and the aggregation slides into the preperitoneal space. A 57–year–old man experiencing inguinal swelling that spontaneously improved and disappeared the next day then had repeated epigastralgia, abdominal distension, and vomiting. When seen, his entire abdomen was distended but no inguinal hernia was found. Abdominal computed tomography (CT) suggested inguinal hernia but not the cause of ileus. When conservative treatment failed, we undertook emergency surgery with an inguinal approach. We found the intestines incarcerated in a hernial sac in the preperitoneal space and repaired the hernia.
We found that minimally invasive laparoscopic surgery enables detailed examination and is useful in rare clinical conditions as in this case.
