Strangulated Richter's Hernia in an Indirect Inguinal Hernia
Keywords:
Richter hernia, inguinal hernia, Strangulation, MortalityAbstract
Introduction: Richter's hernia is an abdominal hernia in which part of the circumference of the intestine is incarcerated in the hernia sac. Case report: We report a case of Richter's hernia incarcerated through an indirect inguinal hernia. The patient presented with an occlusive syndrome with an imaging appearance of a right inguinal hernial strangulation bowel obstruction. Surgical exploration revealed the presence of an indirect inguinal Richter's hernia with a viable bowel. Discussion: Richter's hernia is a rare hernia of the abdominal wall, it is known by the unusual clinical presentation and the often erroneous late diagnosis that leads to high morbidity and mortality rates. Therefore, with high clinical suspicion, abdominal CT scan is recommended to establish a prompt diagnosis, as timely surgical intervention is important to reduce mortality. Conclusion: Surgery is the basis of its treatment, but prompt surgical intervention remains. Assessment of bowel viability is an essential part of the repair.
References
Gupta G, Kaur I, Khuroo S, Razdan A, Wani AA. (2021). Unusual Richter’s Hernia: Impacted foreign body leading to incarceration and perforation - A rare clinical entity. Int J Surg Case Rep,79:492-5.
Agrawal S, Daruwala C. Richter’s hernia.(2013). Clinical Imaging. 1,37(3):593-4.
Boughey JC, Nottingham JM, Walls AC.(2003). Richter’s hernia in the laparoscopic era: four case reports and review of the literature. Surg Laparosc Endosc Percutan Tech,13(1):55-8.
Janardhanan D, Martis JJS, Rajeshwara KV, Shridhar MK, Sudarshan S.(2011). Strangulated Richter’s Umbilical Hernia - A Case Report. Indian J Surg,73(6):455-7.
AbuFarha S, Chorti A, Michalopoulos A, Papavramidis TS.(2019). Richter’s hernia in a 5-mm trocar site. SAGE Open Med Case Rep,7:2050313X18823413.
Goel VK, Gupta AK, Masood S, Pandey A.(2014). Richter’s hernia after an intraperitoneal mesh repair. Asian J Endosc Surg,7(4):330-3.
Floridi A, Giuliani D, Magnoli M, Monti M, Segalini E.(2019).Laparoscopic treatment for an inguinal Richter’s hernia: an unusual indication in case of acute small bowel obstruction. ANZ J Surg,89(10):E470-1.
Kishi H, Kodama M, Murano S, Toyoda A, Yonekura S.(2016). Richter’s Type of Incarcerated Obturator Hernia that Presented with a Deep Femoral Abscess: An Autopsy Case Report. Am J Case Rep,17:830-3.
Murji A, De Gasperis-Brigante C, Leyland N.(2017). Richter’s Hernia After Laparoscopic Surgery. J Minim Invasive Gynecol,24(4):518-9.
Fischer DI, Perry ZH, Rivin M.(2020). A Port Site Richter’s Hernia. Am Surg,3134820979186.
Hayes C, Ivanovski I, Neduchelyn Y, Schmidt K .(2020). Obturator hernia of Richter type: a diagnostic dilemma. BMJ Case Rep,13(12):e238252.
Kang CH, Tsai CY.(2014). Richter’s femoral hernia manifested by a progressive ileus. Formosan Journal of Surgery,47(5):193-6.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 ESI Preprints
![Creative Commons License](http://i.creativecommons.org/l/by-nc-nd/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.