Rare Presentation of Incarcerated Incisional Richter's Hernia of the Cecum

Schmuter, Gabriella; Narula, Nisha; Mukherjee, Indraneil

doi:10.7759/cureus.16971

Cited by 2 publications

(3 citation statements)

References 6 publications

(9 reference statements)

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“…1 However, other segments of the gastrointestinal tract may also be involved. 4,8,9 In the current case report, the distal ileum approximately 65 cm from the ileocecal junction was found to be entrapped in the deep inguinal ring of the right inguinal canal.…”

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confidence: 55%

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Richter’s Type Recurrent Indirect Inguinal Hernia, an Extremely Rare Occurrence: A Case Report

Bayeh¹,

Limenh²

2022

OAEM

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Background Richter’s type recurrent indirect inguinal hernia remains to be an extremely rare entity reported scarcely. It may present with grave complications in the absence of symptoms and signs of intestinal obstruction. The aim of this study is to report a rare case of Richter’s hernia after a previously repaired indirect inguinal hernia. Case Presentation A 31-year-old male farmer came up with complaints of colicky abdominal pain and two episodes of vomiting. He had a previous right inguinal surgery. A physical examination revealed a full abdomen with right inguinal tenderness and oblique surgical scar. Abdominal ultrasound showed a bowel segment entrapped in the deep inguinal ring of the inguinal canal. Right inguinal exploration was done, and the finding was a gangrenous Richter’s type recurrent indirect inguinal hernia. The patient was discharged and improved on the seventh post-operative day after resection and anastomosis. Discussion Richter’s hernia is a rare form of hernia that occurs when the anti-mesenteric border of the bowel is partly trapped in a tight hernial ring. Its rarity, combined with the fact that it may present in the absence of typical symptoms and signs of intestinal obstruction and local physical findings, poses a diagnostic challenge which often end up with complications like gangrenous bowel at the time of diagnosis. Conclusion Richter’s hernia can occur in an extremely rare form as Richter’s type recurrent indirect inguinal hernia. A high degree of suspicion, an early referral and timely imaging on the provider's side may prevent mortality and morbidity.

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confidence: 55%

“…1 However, it may occur in any sites of hernia like inguinal hernia, incisional, umbilical and Spigelian hernias. 2,3,[8][9][10][11] With the era of laparoscopic procedures, reports of cases of port-site Richter's hernias have been increasing. [12][13][14][15] The bowel segment commonly affected in Richter's hernia is the distal part of the small intestine.…”

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confidence: 99%

Richter’s Type Recurrent Indirect Inguinal Hernia, an Extremely Rare Occurrence: A Case Report

Bayeh¹,

Limenh²

2022

OAEM

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“…Lung infections can signi cantly deteriorate the patient's general condition, and the accompanying surgical trauma could lead to a lung infection that is di cult to control [10][11][12] . Some patients with incisional hernia in the abdominal wall are at risk of incarceration during treatment, and severe cases present partial necrosis, which requires partial intestinal resection, resulting in postoperative intestinal stula and poor gastrointestinal function recovery [1,12,13] .…”

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confidence: 99%

Risk factor analysis and prediction modeling for the occurrence of perioperative complications in abdominal wall incisional hernia patients

Shi,

Feng,

et al. 2024

Preprint

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Aim: The occurrence of perioperative complications in patients with abdominal wall incisional hernia not only affects their postoperative recovery but also increases their financial burden and pain. Therefore, the influencing factors predicting the occurrence of perioperative complications in abdominal wall incisional hernia should be determined, so that clinicians can perform perioperative patient management and early interventions before surgery to reduce the occurrence of complications. Methods: This retrospective analysis included 212 patients with incisional hernia of the abdominal wall in Shaanxi Provincial People’s Hospital from January 2013 to December 2020. The least absolute shrinkage and selection operator regression model was applied to optimize factor selection, and multivariable logistic regression analysis was conducted to construct a predictive model. The performance and clinical utility of the nomogram were determined, and internal validation was conducted. Results: The prediction nomogram showed that abnormal preoperative pulmonary function, defect in the central region of the anterior abdominal wall, hernia size, and intraoperative bleeding were predictors of perioperative complications in abdominal wall incisional hernia. The model showed an area under the receiver operating characteristic curve of 0.771 (95% confidence interval: 0.687–0.767). Decision curve analysis demonstrated that the perioperative complications risk nomogram had a good net clinical benefit. Conclusions: We developed a nomogram to help clinicians identify abdominal wall incisional hernia patients who are at a greater risk of perioperative complications, which may aid in early intervention and reduce the incidence of perioperative complications in them.

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Rare Presentation of Incarcerated Incisional Richter's Hernia of the Cecum

Cited by 2 publications

References 6 publications

Richter’s Type Recurrent Indirect Inguinal Hernia, an Extremely Rare Occurrence: A Case Report

Richter’s Type Recurrent Indirect Inguinal Hernia, an Extremely Rare Occurrence: A Case Report

Risk factor analysis and prediction modeling for the occurrence of perioperative complications in abdominal wall incisional hernia patients

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