title: Reduction en-masse of inguinal hernia with strangulated obstruction.
abstract: "Reduction en masse of inguinal hernia" means reduction/migration of a hernial sac into the properitoneal space. We report the CT findings in a case of reduction en masse with strangulated obstruction. CT scan demonstrated a hernial sac with fibrous constriction band at the neck, situated in the properitoneal space superior to the inguinal region, causing closed-loop obstruction. The hernial sac contained thickened bowel loop with wall enhancement and fluid suggestive of incarceration/strangulation. We propose to call this, 'The properitoneal hernial sac sign', defined as "Presence of a hernial sac in the properitoneal space (and not in the inguinal/femoral canal) containing an obstructed/incarcerated bowel loop and causing small bowel obstruction" to identify "reduction en masse of inguinal hernia".
authors: Teleradiology Solutions, Bangalore, India.
authors: H
authors: H
authors: Ravikumar
authors: S
authors: S
authors: Babu
authors: Mj
authors: M
authors: Govindrajan
authors: A
authors: A
authors: Kalyanpur
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