Department of Pediatric Surgery, New York Presbytarian Hospital, Weill Cornell Medical College New York, NY 10065, USA.
J Pediatr Surg. 2012 May;47(5):E19-20. doi: 10.1016/j.jpedsurg.2012.01.016.
Reduction en masse is a complication of inguinal hernia reduction in which a hernia is reduced back into the peritoneal cavity, but a loop of bowel remains trapped inside the hernia sac after reduction. Reduction en masse can be difficult to diagnose because of generalized and nonspecific symptoms. We describe a 7-year-old boy with an atypical presentation of reduction en masse after hernia reduction. The patient was a previously healthy child who presented with a mildly painful right inguinal mass of 1 day duration. An incarcerated hernia was noted, and after reduction, the pain dissipated for a short period, only to return with pain in the right lower quadrant and generalized peritoneal irritation. At surgical exploration, a reduction en masse was definitively diagnosed, and the incarcerated bowel was released from the hernia sac.
肠套叠是腹股沟疝复位的一种并发症，在这种并发症中，疝被复位回腹腔，但在复位后肠环仍被困在疝囊内。肠套叠由于其普遍存在且无特异性的症状，因此很难诊断。我们描述了一例 7 岁男孩在疝复位后出现非典型肠套叠的表现。该患者是一名既往健康的儿童，表现为 1 天的右腹股沟区轻度疼痛性肿块。发现嵌顿性疝，复位后疼痛短暂缓解，但随后右下象限疼痛，并出现全腹膜激惹。在手术探查时，明确诊断为肠套叠，并将嵌顿的肠管从疝囊中释放出来。
