title: Retroperitoneal hematoma after manual reduction of indirect inguinal hernia.
abstract: This report presents the case of a 59-year-old man with sudden severe pain in the right lower abdomen after manually reducing the right indirect inguinal hernia who had bilateral indirect inguinal hernia for 5 years. A subsequent contrast computed tomography scan with contrast of the abdomen and pelvis revealed a significant extensive retroperitoneal hematoma at the abdomen and pelvis of the right side. There was contrast leaked out, which was suspected from inferior epigastric artery. He underwent successful laparotomy. The bleeding ruptured inferior epigastric artery at the interior side of the deep inguinal ring was found, the deep inguinal ring was avulsed, ligature of the inferior epigastric artery and removal of the retroperitoneal hematoma were done, and the patient was discharged from hospital on the seventh postoperative day. This is the first report in the literature on retroperitoneal hematoma caused by manual reduction of indirect inguinal hernia.
authors.affiliation: Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. xiequnxu@gmail.com
authors.forename: Xiequn
authors.initials: X
authors.lastname: Xu
authors.forename: Tao
authors.initials: T
authors.lastname: Hong
authors.forename: Binglu
authors.initials: B
authors.lastname: Li
authors.forename: Wei
authors.initials: W
authors.lastname: Liu
authors.forename: Chaoji
authors.initials: C
authors.lastname: Zheng
authors.forename: Xiaodong
authors.initials: X
authors.lastname: He
mesh_terms: D019074:Epigastric Arteries / Q000000981:diagnostic imaging / Q000293:injuries*; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology*; D006552:Hernia, Inguinal / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012187:Retroperitoneal Space; D014057:Tomography, X-Ray Computed; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology*