Ugianskis Arnas, Christensen Svend Erik Borup
Sygehus Vendsyssel, Kirurgisk Afdeling, Hjørring.
Ugeskr Laeger. 2008 Aug 25;170(35):2708.
We report a case of intestinal perforation due to manual reduction of incarcerated inguinal hernia. Explorative laparotomy was delayed and first attempted after 21 hours. The patient died as a result of peritonitis. If conservative treatment of incarcerated inguinal hernia is considered, this should be done with caution. When successful, possibility of reduction of non-vital organ should be eliminated. Patient must be informed about symptoms and risks, otherwise hospitalisation can be considered.
我们报告一例因手法复位嵌顿性腹股沟疝导致肠穿孔的病例。剖腹探查术延迟进行，在21小时后首次尝试。患者因腹膜炎死亡。如果考虑对嵌顿性腹股沟疝进行保守治疗，应谨慎操作。成功复位时，应排除复位非重要器官的可能性。必须告知患者症状和风险，否则可考虑住院治疗。
