title: Intestinal obstruction caused by intraoperative mass reduction of an incarcerated inguinal hernia--report of a case.
abstract: Now that inguinal hernia repair is a feasible and safe procedure, mass reduction of an incarcerated inguinal hernia, usually resulting from forceful taxis during non-operative manual reduction, has became a rare occurrence. We present an even rarer complication: intraoperative mass reduction of an incarcerated inguinal hernia. Following herniorrhaphy, the patient was initially well, but symptoms of intestinal obstruction appeared gradually, and he presented with intestinal obstruction 2 weeks after herniorrhaphy. Imaging studies aroused suspicion of mass reduction and surgery confirmed the diagnosis. We highlight some peculiar physical findings and remind readers of the existence of such a rare complication, which can occur following herniorrhaphy, and be masked by a short period of symptomatic relief.
authors.affiliation: The Department of General Surgery, Chang Gung Memorial Hospital (CGMH)-Kaohsiung Medical Center, Chang Gung University College of Medicine, 123 Ta-Pei Road, Niao-Sung Hsiang, Kaohsiung Hsien, Taiwan, Republic of China.
authors.forename: Shih-Chung
authors.initials: SC
authors.lastname: Wu
authors.forename: Chih-Chi
authors.initials: CC
authors.lastname: Wang
authors.forename: Shyr-Ming
authors.initials: SM
authors.lastname: Sheen-Chen
mesh_terms: D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged