Reduction en-masse of inguinal hernia with strangulated obstruction

• Published in: Biomedical imaging and intervention journal Vol. 5; no. 4; p. e14
• Main Authors: Ravikumar, H, Babu, S, Govindrajan, Mj, Kalyanpur, A
• Format: Journal Article
• Language: English
• Published: Malaysia University of Malaya 01.10.2009; Department of Biomedical Imaging, Faculty of Medicine, University of Malaya, Malaysia
• Subjects: Case Report; hernial sac; Inguinal hernia; properitoneal space; reduction en masse; closed-loop obstruction
• ISSN: 1823-5530; 1823-5530
• DOI: 10.2349/biij.5.4.e14

"Reduction en masse of inguinal hernia" means reduction/migration of a hernial sac into the properitoneal space. We report the CT findings in a case of reduction en masse with strangulated obstruction. CT scan demonstrated a hernial sac with fibrous constriction band at the neck, situated in the properitoneal space superior to the inguinal region, causing closed-loop obstruction. The hernial sac contained thickened bowel loop with wall enhancement and fluid suggestive of incarceration/strangulation. We propose to call this, 'The properitoneal hernial sac sign', defined as "Presence of a hernial sac in the properitoneal space (and not in the inguinal/femoral canal) containing an obstructed/incarcerated bowel loop and causing small bowel obstruction" to identify "reduction en masse of inguinal hernia".