An 86-year-old retired plumber states that he has suffered from a groin hernia all of his adult life; he states,"as far back as I can remember." Sometimes he has to push the bulge back into his abdominal wall and then he is fine until he has a coughing spell.This morning the bulge was large and tender when he woke up,and he could not reduce it.As the pain increased,he felt weak and nauseated.His daughter took him to the emergency department (ED).The patient was diagnosed with a strangulated incarcerated hernia and scheduled for emergency surgery.If the contents of the patient's hernia sac become compromised,with strangulation of the bowel,the probable label on his surgical specimen will be:

Question

Quizplus · Accepted Answer

In a strangulated hernia,the blood supply of the trapped sac contents becomes compromised,and eventually the sac contents necrose.When the bowel is strangulated in such a hernia,resection of necrotic bowel,in addition to repair of the hernia defect,becomes necessary.This is a surgical emergency.

An 86-Year-Old Retired Plumber States That He Has Suffered from a Groin