Wu Shih-Chung, Wang Chih-Chi, Sheen-Chen Shyr-Ming
The Department of General Surgery, Chang Gung Memorial Hospital (CGMH)-Kaohsiung Medical Center, Chang Gung University College of Medicine, 123 Ta-Pei Road, Niao-Sung Hsiang, Kaohsiung Hsien, Taiwan, Republic of China.
Int J Surg. 2008 Dec;6(6):e103-5. doi: 10.1016/j.ijsu.2007.04.017. Epub 2007 May 7.
Now that inguinal hernia repair is a feasible and safe procedure, mass reduction of an incarcerated inguinal hernia, usually resulting from forceful taxis during non-operative manual reduction, has became a rare occurrence. We present an even rarer complication: intraoperative mass reduction of an incarcerated inguinal hernia. Following herniorrhaphy, the patient was initially well, but symptoms of intestinal obstruction appeared gradually, and he presented with intestinal obstruction 2 weeks after herniorrhaphy. Imaging studies aroused suspicion of mass reduction and surgery confirmed the diagnosis. We highlight some peculiar physical findings and remind readers of the existence of such a rare complication, which can occur following herniorrhaphy, and be masked by a short period of symptomatic relief.
既然腹股沟疝修补术是一种可行且安全的手术，因非手术手法复位时强力推挤导致的嵌顿性腹股沟疝内容物大量减少已很少见。我们报告一种更为罕见的并发症：嵌顿性腹股沟疝术中内容物减少。疝修补术后，患者起初情况良好，但逐渐出现肠梗阻症状，在疝修补术后2周出现肠梗阻表现。影像学检查引发对内容物减少的怀疑，手术确诊了这一诊断。我们强调一些特殊的体格检查发现，并提醒读者注意这种罕见并发症的存在，它可发生在疝修补术后，并可能被短暂的症状缓解所掩盖。
