Abstract
We report a case of reduction en masse of an inguinal hernia. An 85-year-old man was admitted to our hospital complaining of right inguinal swelling and pain. He had repeated incarceration and self-reduction of a right inguinal hernia for 5 years. He tried self-reduction before admission. Computed tomography revealed a spherical shaped space containing part of the small intestine and fluid closed to the right inguinal region. We suspected strangulation of the bowel and performed an emergency operation. Laparotomy revealed a section of necrotic small intestine and bloody ascites covered with spherical shape peritoneum in the preperitoneal space. We reduced the incarceration and performed an enterectomy. Hernioplasty was achieved by the McVay method. Reduction en masse is extremely rare and only twenty cases have been reported in Japan. We should consider the possibility of reduction en masse for patients with long-term repeated incarceration and self-reduction.
