Laparoscopic treatment for an inguinal Richter's hernia: an unusual indication in case of acute small bowel obstruction

Magnoli, Matteo; Floridi, Antonio; Giuliani, Domenico; Monti, Marco; Segalini, Edoardo

doi:10.1111/ans.14771

Cited by 1 publication

(1 citation statement)

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“…The most common site is the femoral ring (36%-88%), followed by the inguinal canal (12%-36%) and an abdominal wall incision (4%-25%); however, the least common hernias are umbilical, obturator, supravesical, spigelic, and gastric, Petit's triangle, sacral foramen, Morgagni, internal, and diaphragmatic hernias. Richter's hernia has also been reported at trocar ports in laparoscopy and also at drainage sites (Gupta G. et The diagnosis and difficult because the symptoms and clinical course are variable (Floridi A. et al, 2019;Kishi H. et al, 2016). Patients usually do not have intestinal obstruction because the continuity of the bowel is maintained; however, as in our case, intestinal obstruction may occur concomitantly.…”

Section: Case Reportmentioning

confidence: 99%

Strangulated Richter's Hernia in an Indirect Inguinal Hernia

Bouali

Falousse

Wassi

et al. 2023

ESJ

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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, an 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.

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Section: Case Reportmentioning

confidence: 99%