Emergency Medical Technician (EMT) Intermediate Practice Exam

What is the greatest risk for a patient with an inguinal hernia that will not reduce?

1. Infection of the hernia

2. Strangulation of the bowel

3. Intestinal blockage

4. Perforation of the hernia

The correct answer is: Strangulation of the bowel

In the case of a patient with an inguinal hernia that will not reduce, the greatest risk is the strangulation of the bowel. Strangulation occurs when the herniated tissue becomes trapped, leading to a compromised blood supply to the affected area of the bowel. This can result in a lack of oxygen to the tissue, causing it to become necrotic if not promptly addressed. The urgency of this complication stems from the potential for severe consequences, including bowel ischemia and perforation, which could lead to peritonitis, a life-threatening condition requiring immediate surgical intervention. While infection can occur in hernias, and intestinal blockage is a concern due to the herniated tissue affecting bowel motility, these conditions are secondary to the immediate and critical danger posed by strangulation. The risk of perforation is also a concern, but it often follows the strangulation process if not treated. Thus, the primary concern in a patient with a non-reducible inguinal hernia is the risk of strangulation, making it the most critical issue to address.