Gangrenous intestine in a hernia can be reduced

• Published in: Journal of pediatric surgery Vol. 37; no. 6; pp. 919 - 920
• Main Authors: Strauch, Eric D., Voigt, Roger W., Hill, J.Laurance
• Format: Journal Article
• Language: English
• Published: Philadelphia, PA Elsevier Inc 01.06.2002; Elsevier
• Subjects: Abdomen; Biological and medical sciences; Drainage; Gangrene - etiology; Gangrene - therapy; gangrenous; Gastroenterology. Liver. Pancreas. Abdomen; Hernia; Hernia, Inguinal - complications; Hernia, Inguinal - surgery; Humans; incarcerated; Infant, Newborn; Infant, Premature, Diseases - therapy; Intestines - pathology; Male; Medical sciences; Other diseases. Semiology; Peritonitis - etiology; Peritonitis - therapy; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; Triplets; Hernia; incarcerated; gangrenous; Human; Perforation; Triplet; Gut; Male; Infant; Inguinal; Abdomen; Case study; Plasty; Treatment; Abdominal disease; Surgery; Gangrene; Digestive diseases; Intestinal disease; Complication
• ISSN: 0022-3468; 1531-5037
• DOI: 10.1053/jpsu.2002.32912

A 3-month-old former 31-week premature triplet presented with a perforated terminal ileum 36 hours after complete reduction of an incarcerated inguinal hernia. Classic pediatric surgery teaching asserts that gangrenous bowel in an inguinal hernia will not reduce. In this case, gangrenous bowel was reduced and proceeded to perforate after reduction. Though extremely rare, it is possible to reduce gangrenous bowel, and disposition requires reliable observation at home or hospitalization, if circumstances warrant. J Pediatr Surg 37:919-920. Copyright 2002, Elsevier Science (USA). All rights reserved.