{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T02:51:13Z","timestamp":1789267873892,"version":"build-2803163510"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,5,4]],"date-time":"2021-05-04T00:00:00Z","timestamp":1620086400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,5,4]],"date-time":"2021-05-04T00:00:00Z","timestamp":1620086400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Reduction en mass (REM) is one of the rare complications of inguinal hernia reduction. Although REM can be detected on the basis of specific computed tomography (CT) scan findings, many radiologists are not familiar with its radiological appearance because of the scarcity of this complication, which may cause a delay in diagnosis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>The patient reported in this article was a 50-year-old Persian man with a history of inguinal hernia, who had been referred with the periumbilical pain that radiated to the right lower quadrant and developed following hernia replacement by the patient himself. REM diagnosis was based on clinical examination and CT scan findings, and surgical treatment was performed by the Lichtenstein repair and mesh implantation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Although REM usually occurs after reduction with compression in the inguinal hernia, this unique case report highlighted the possibility of REM after self-reduction. Surgeons and radiologists should consider REM in patients with a history of inguinal hernia presenting with intestinal obstruction symptoms, even without any apparent signs of hernia in the physical examination.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-021-02845-y","type":"journal-article","created":{"date-parts":[[2021,5,3]],"date-time":"2021-05-03T23:06:01Z","timestamp":1620083161000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Reduction en masse of inguinal hernia after self-reduction: a case report"],"prefix":"10.1186","volume":"15","author":[{"given":"Khosrow","family":"Najjari","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9092-5124","authenticated-orcid":false,"given":"Hossein","family":"zabihi Mahmoudabadi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seyed Zeynab","family":"Seyedjavadeyn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reza","family":"Hajebi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,5,4]]},"reference":[{"issue":"4","key":"2845_CR1","doi-asserted-by":"publisher","first-page":"e14","DOI":"10.2349\/biij.5.4.e14","volume":"5","author":"H Ravikumar","year":"2009","unstructured":"Ravikumar H, Babu S, Govindrajan MJ, Kalyanpur A. Reduction en-masse of inguinal hernia with strangulated obstruction. Biomed Imaging Interv J. 2009;5(4):e14.","journal-title":"Biomed Imaging Interv J"},{"key":"2845_CR2","doi-asserted-by":"publisher","first-page":"1562","DOI":"10.12659\/AJCR.918059","volume":"20","author":"J Baik","year":"2019","unstructured":"Baik J, Lee Y. Reduction en-masse of inguinal hernia with incarcerated bowel: report of a rare case. Am J Case Rep. 2019;20:1562\u20135.","journal-title":"Am J Case Rep"},{"issue":"2","key":"2845_CR3","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1007\/s10029-003-0186-1","volume":"8","author":"JA Alvarez","year":"2004","unstructured":"Alvarez JA, Baldonedo RF, Bear IG, Solis JAS, Alvarez P, Jorge JI. Incarcerated groin hernias in adults: presentation and outcome. 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Invest Radiol. 1999;34(12):739\u201343.","journal-title":"Invest Radiol"},{"issue":"1","key":"2845_CR6","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1007\/s00464-012-2412-3","volume":"27","author":"A Robinson","year":"2013","unstructured":"Robinson A, Light D, Kasim A, Nice C. A systematic review and meta-analysis of the role of radiology in the diagnosis of occult inguinal hernia. Surg Endosc. 2013;27(1):11\u20138.","journal-title":"Surg Endosc"},{"key":"2845_CR7","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2017-220475","author":"A Yatawatta","year":"2017","unstructured":"Yatawatta A. Reduction en masse of inguinal hernia: a review of a rare and potential fatal complication following reduction of inguinal hernia. BMJ Case Rep. 2017. https:\/\/doi.org\/10.1136\/bcr-2017-220475.","journal-title":"BMJ Case Rep"},{"key":"2845_CR8","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2012-007919","author":"MR Sahoo","year":"2012","unstructured":"Sahoo MR, Kumar A. Laparosopic management of reduction-en-masse. BMJ Case Rep. 2012. https:\/\/doi.org\/10.1136\/bcr-2012-007919.","journal-title":"BMJ Case Rep"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-02845-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13256-021-02845-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-02845-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,3]],"date-time":"2021-05-03T23:39:19Z","timestamp":1620085159000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-021-02845-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,4]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["2845"],"URL":"https:\/\/doi.org\/10.1186\/s13256-021-02845-y","relation":{},"ISSN":["1752-1947"],"issn-type":[{"value":"1752-1947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,4]]},"assertion":[{"value":"25 October 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 April 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 May 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The compliance of this case report with ethical standards was approved by the ethics committee of Tehran University of Medical Sciences.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"251"}}