Nekrotisierende Entzündung der Vulva - Symptom einer Richterschen Darmwandhernie

Abstract

Parietal hernias, often also known as Littre's hernia and Richter's hernia, are a special kind of inguinal hernias. In this type of hernia, part of the abdominal (intestinal) wall is strangulated in "calotte form" in the hernial orifice; as a result, parietal hernias often cause only mild complaints and are surgically treated only in the late stage of enterocutaneous faecal fistula. In contrast to incarcerated inguinal hernias resulting in diffuse faecal peritonitis via infarction and necrosis, parietal hernia of the Richter type is locally restricted in extension because of the narrow hernial orifice, as far as the extension into the abdominal cavity is concerned; intestinal patency is usually maintained. The possibility of the existence of a perforated parietal hernia should always be considered in necrotising inflammations in the inguinal and vulvar regions, even if abdominal signs and symptoms are absent.

Spontaneous entero-labial fistula complicating Richters hernia: Report of a case

“…Although opinion varies in literature interns of approach to surgical exploration but access or route of operation is generally patient dependent. Bätz et al [14] noted that the possibility of the existence of a perforated parietal hernia should always be considered in necrotising inflammations in the inguinal and vulvar regions, even if abdominal signs and symptoms are absent. Also local restriction of extension into the abdominal cavity occurs because of narrowed hernia orifice, since intestinal patency is usually maintained.…”

Case report and review of literature: Richter hernia in an anterior sacral foramen

“…T h e most common sites for a Richter hernia are the femoral ring (71%), the deep inguinal ring (23%), and ventral or umbilical hernias (6%) (combined series ofTreves, 1887; Frankau, 1931;Gillespie et al, 1956). Rarely, Richter hernias have been found in the lumbar triangle (Millard, 1959), in the obturator canal (Cook and Yarrington, 1962), in incisional hernias (Keynes, 1956), and in the vulva (Batz et al, 1984).…”