Abstract
We report the case of a 2-mo-old formerly 31-week premature baby boy presented with intestinal perforation after manual reduction of an incarcerated hernia. When the infant was transferred to our hospital 12 h after hernia reduction, his general condition was deteriorating and hemorrhaging via the rectum was evident X-ray imaging revealed intestinal obstruction, and blood examimation data suggested severe inflammation. During lapalotomy, a small deal perforation with peritonitis was found. An ileostomy was made to allow extenonzation of the perforated site. The stoma was taken down on the 42nd postoperative day. We presumed that the gangrenous bowel of the incarcerated inguinal hernia could be reduced. Therefore close observation is required even after successful reduction of such incarcerated hernias seen in formerly premature infants.
