False reduction of an inguinal hernia treated by Kugel patch repair via an anterior approach

BMC Surgery

Case Report

Nobutaka Tanaka¹  Atsushi Akai¹  Akihiko Seo¹  Naoya Yamada¹  Yukihiro Nomura¹ 

[1] Department of Surgery, Asahi General Hospital, 1326 I, Asahi-shi, 289-2511, Chiba, Japan;

关键词: Incarcerated inguinal hernia;    Reduction en masse;    CT imaging;    Kugel patch repair;   

DOI  :  10.1186/1471-2482-15-9

 received in 2014-08-21, accepted in 2015-01-22,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundReduction en masse of inguinal hernia is a rare condition following manual reduction of an unrecognized incarcerated inguinal hernia. The preoperative diagnosis and surgical treatment via an inguinal approach has been considered difficult.Case presentationA 59-year-old man with lower abdominal pain was presented to our hospital. He was diagnosed reduction en masse of an inguinal hernia based on his CT findings which showed the presence a pre-peritoneal hernia sac containing the small bowel. An emergency operation via an anterior approach was performed and we found a hernial sac containing an incarcerated small bowel at the cranial and internal sides of the internal inguinal ring. Opening of the hernial sac revealed necrosis of the incarcerated small bowel and bowel resection was performed. Kugel patch was inserted into the pre-peritoneal space and the patient made an uneventful recovery.ConclusionWhen it is accurately diagnosed, reduction en masse of an inguinal hernia can be treated with direct Kugel repair via an anterior approach.

【 授权许可】

CC BY   
© Yamada et al.; licensee BioMed Central. 2015