Case Report on the Diagnosis and Management of Incarcerated Inguinal Hernia with Successful "Complete Reduction

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Reduction en masse (REM) in incarcerated inguinal hernias can lead to closed-loop obstruction, posing a risk for bowel strangulation.
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A 70-year-old male experienced small-bowel obstruction after forceful self-reduction of a right inguinal hernia, with symptoms worsening over time.
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Contrast-enhanced CT revealed the 'preperitoneal hernia-sac sign,' indicating an obstructed jejunal loop adjacent to the inferior epigastric vessels.
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Laparoscopic exploration confirmed REM, allowing for bowel viability assessment and definitive repair, minimizing postoperative morbidity.
5

Increased awareness of REM and timely imaging are crucial for preventing diagnostic delays and severe complications in similar cases.

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