Intestinal strangulation and sub-acute bowel
obstruction in direct inguinal hernia
P. Vasas, J. Gosling, F.P. Prete and J.A. McCullough
Corresponding address:
Peter Vasas, General Surgery Department, University College London,
250 Euston Road, London, NW1 2BU, UK.
E-mail: vasasdr@gmail.com
Strangulation, secondary to reduced blood flow, is a well-known complication of herniae. Signs of bowel activity do not rule out the possibility of vascular compromise. Raised inflammatory markers and a positive computed tomography scan can lead to a preoperative diagnosis, but the mortality rate remains high.
Keywords
Strangulated hernia; hernia repair; sub-acute bowel obstruction; obstruction.
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