Case of reduction en masse who presented with no symptoms.
Asian J Endosc Surg
; 12(2): 207-210, 2019 Apr.
Article
em En
| MEDLINE
| ID: mdl-30079460
ABSTRACT
The early and accurate diagnosis of reduction en masse followed by proper treatment is important but has been difficult. Here, we report the case of a 58-year-old Japanese man who presented with abdominal pain and vomiting at a nearby clinic. He was referred to our hospital on suspicion of small bowel obstruction. Despite the total disappearance of his symptoms, the abdominal X-ray examination showed distended loops of small bowel. The preoperative diagnosis of small bowel strangulation due to an internal hernia was made by CT, and we therefore performed emergency exploratory laparoscopy. We intraoperatively diagnosed the patient with the reduction en masse of a right inguinal hernia, and we conducted a transabdominal preperitoneal hernioplasty. This patient's case demonstrates that even when a patient is asymptomatic after the reduction of an inguinal hernia, the possibility of a reduction en masse remains.
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Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Laparoscopia
/
Herniorrafia
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Hérnia Inguinal
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Obstrução Intestinal
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Intestino Delgado
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article