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Strangulation of a sliding hernia appears to be very rare. In fact, I have been unable to find any cases of this condition reported in the literature, and a nationally known authority on the subject, who sees a vast amount of hernia work at the Hospital for the Ruptured and Crippled in New York, recently told me that he cannot recall ever having seen or heard of a case.
REPORT OF CASE
—A negro, aged 29, whose family and past histories were irrelevant except in relation to the local condition, had been forced to lift a heavy load when 6 years of age. This had resulted in a bilateral inguinal hernia, for the relief of which he had since worn a truss. At times, when straining, he could feel his "ruptures" slide down into the scrotum. At other times they protruded without his noticing it, and his attention was
Smith WR. STRANGULATED SLIDING HERNIA. JAMA. 1924;82(12):963–964. doi:10.1001/jama.1924.26520380001012
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