Rupture fo the intestine in patients with hernia.

Two cases of perforation of the small intestine associated with minor abdominal trauma and right inguinal hernia are presented along with a review of 104 cases in the literature, The condition is treacherous because this minimal injury can produce catastrophic intraabdominal perforation. The most reliable signs and symptoms are abdominal pain associated with guarding and rigidity. Laboratory data may only show leukocytosis and signs of dehydration. Early operation, using a formal laparotomy, is imperative. Systemic antibiotics are recommended.