Intestinal obstruction caused by intraoperative mass reduction of an incarcerated inguinal hernia—Report of a case Shih-Chung Wu, Chih-Chi Wang, Shyr-Ming.

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Intestinal obstruction caused by intraoperative mass reduction of an incarcerated inguinal hernia—Report of a case Shih-Chung Wu, Chih-Chi Wang, Shyr-Ming Sheen-Chen International Journal of Surgery Volume 6, Issue 6, Pages e103-e105 (December 2008) DOI: 10.1016/j.ijsu.2007.04.017 Copyright © 2007 Surgical Associates Ltd Terms and Conditions

Figure 1 (A and B) Preoperative computed tomography (CT) scan showed severe gastric distension, diffuse small bowel dilatation and collapse of the ascending and descending colon, suggestive of mechanical causes of intestinal obstruction. (C and D) An abnormal mass (arrow) was located just beneath the right internal inguinal ring. Note that the terminal small bowel abnormally shifted into the right anterior pelvic cavity due to the mass anchored to the anterior peritoneum. International Journal of Surgery 2008 6, e103-e105DOI: (10.1016/j.ijsu.2007.04.017) Copyright © 2007 Surgical Associates Ltd Terms and Conditions

Figure 2 Intraoperative findings. (A) Surgical exploration revealed a hard mass (incarcerated bowel loop) extraperitoneally located at the right anterior pelvis, just beneath the right inguinal internal ring. This bowel incarceration resulted in proximal dilatation and distal collapse of the bowel. (B) The incarcerated bowel loop was freed and deprived of the overlying hernia sac; it showed hypertrophic wall thickening and luminal stenosis. Note the remnant of the hernia sac (arrow). (C) The resected incarcerated ileal loop measured 3 inches in length, and showed smooth surface, with no evidence of adhesion. International Journal of Surgery 2008 6, e103-e105DOI: (10.1016/j.ijsu.2007.04.017) Copyright © 2007 Surgical Associates Ltd Terms and Conditions