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Discount en masse of inguinal hernia: a overview of a uncommon and potential deadly complication following discount of inguinal hernia.
BMJ Case Rep. 2017 Aug 07;2017:
Authors: Yatawatta A
Summary
Discount en masse is discount of a hernial sac into the pre-peritoneal area with a loop of bowel remaining incarcerated on the neck of the sac, resulting in early strangulation. It is a uncommon complication, often encountered with inguinal hernias, with a false reassurance to the affected person and the treating doctor that full discount has been achieved. Until early intervention is carried out, this situation will sometimes current with worsening ache and absence of an considerable hernia bulge on the groin, and intestinal necrosis could also be encountered on exploration. The result will depend upon the severity of peritonitis/sepsis, and mortality stays excessive for late displays. A case of early presentation of discount en masse of an inguinal hernia is reported with a overview of the prevailing literature.
PMID: 28790095 [PubMed – indexed for MEDLINE]