title: Reduction en masse in a 7-year-old boy: an interesting case.
abstract: Reduction en masse is a complication of inguinal hernia reduction in which a hernia is reduced back into the peritoneal cavity, but a loop of bowel remains trapped inside the hernia sac after reduction. Reduction en masse can be difficult to diagnose because of generalized and nonspecific symptoms. We describe a 7-year-old boy with an atypical presentation of reduction en masse after hernia reduction. The patient was a previously healthy child who presented with a mildly painful right inguinal mass of 1 day duration. An incarcerated hernia was noted, and after reduction, the pain dissipated for a short period, only to return with pain in the right lower quadrant and generalized peritoneal irritation. At surgical exploration, a reduction en masse was definitively diagnosed, and the incarcerated bowel was released from the hernia sac.
authors.affiliation: Department of Pediatric Surgery, New York Presbytarian Hospital, Weill Cornell Medical College New York, NY 10065, USA. Amb9064@nyp.org
authors.forename: Aaron M
authors.initials: AM
authors.lastname: Bernie
authors.forename: Theresa
authors.initials: T
authors.lastname: Schwanke
authors.forename: Xavier
authors.initials: X
authors.lastname: Keutgen
authors.forename: Nitsana
authors.initials: N
authors.lastname: Spigland
mesh_terms: D002648:Child; D006552:Hernia, Inguinal / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D007421:Intestine, Small / Q000473:pathology* / Q000601:surgery; D008297:Male