title: Beware of spontaneous reduction "en masse" of inguinal hernia.
abstract: Reduction 'en masse' of inguinal hernia is a rare entity defined as manual reduction of an external hernia sac back through the abdominal wall but where its content still remains incarcerated or strangulated into a displaced position, most often in the pre-peritoneal space. Small bowel obstruction habitually follows requiring urgent repair, preferentially via a trans-abdominal approach. Pre-operative clinical diagnosis is difficult and abdominal CT-scan imaging is the investigation of choice.
authors.affiliation: Department of Surgery, University of New South Wales, Bankstown-Lidcombe Hospital, Eldridge Road, Bankstown, NSW, 2200, Australia. berneycr@hotmail.com.
authors.forename: C R
authors.initials: CR
authors.lastname: Berney
mesh_terms: D018450:Disease Progression; D006552:Hernia, Inguinal / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D007421:Intestine, Small / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012075:Remission, Spontaneous; D014057:Tomography, X-Ray Computed
keywords: Hernia sac; Inguinal hernia; Mechanical obstruction; Pre-peritoneal space; Reduction ‘en masse’