It is deceptive because strangulation may occur early. Richter s hernia is a deceptive entity whose high death rate can be reduced by accurate diagnosis and early surgery. The most common symptom of a hernia is a bulge or lump in the affected area. Hernia inguinal diagnostico y tratamiento mayo clinic. Richter hernia partial enterocele is the protrusion andor strangulation of only part of the circumference of the intestines antimesenteric border through a. This work demonstrates that the surgeon should always bear in mind the existence of these hernias so that the suspicion of the diagnosis can make a. Different type of hernia surgery symptoms and recovering part1 duration. We report a case of strangulated richter s umbilical hernia in a 36 years old male. Richter hernia is a less known entity of the hernia family. Richter s hernia, or partial enterocele, is a protrusion of the antimesenteric surface of bowel wall into any abdominal hernia. Richter s hernia is a deceptive entitywith a high mortality which can be reduced by accurate diagnosis and early operation. A richters hernia occurs when the antimesenteric wall of the intestine protrudes through a defect in the abdominal wall. Laparoscopic diagnosis and desincarceration of inguinal richter hernia.
The richter hernia is a rare condition characterized by the protrusion with incarceration or. Richter s hernia is a deceptive entity with a high mortality which can be reduced by accurate diagnosis and early operation. Richters hernia is a type of hernia that involves the antimesenteric border of small intestine. In whites, the most common site is the femoral ring 3688%, followed by the inguinal canal 1236% and abdominal wall incisional hernia 425%. Dicha hernia fue descrita por primera vez en 1598 1. Critical to the repair of richters hernia is an adequate evaluation of the intestine for viability. Only the antimesenteric wall of the loop of small bowel has herniated, without compromising the lumen. Surgical oasis institute dr iraniha robotic surgery 45,767 views.
For each of the hernia is referred to its history, frequency, clinical presentation, diagnosis and differential diagnosis and its treatment. Although not well known and overall rare, richter hernias can lead to grave clinical. Richter hernias are an abdominal hernia where only a portion of the bowel wall is herniated and comprise 10% of strangulated hernias. For example, in the case of an inguinal hernia, you may notice a lump on. Richters hernia may occur in any usual hernial site, but it seems most likely to occur in small hernial rings with firm margins. A richter s hernia can result in strangulation and necrosis in the absence of intestinal obstruction. Richter hernia partial enterocele is the protrusion andor strangulation of only part of the circumference of the intestines antimesenteric border through a rigid small defect of the abdominal. All the patients presented a severe deterioration of their general condition and marked dehydration. The antimesenteric border of the intestine must protrude into the hernia sac the most common location is at the site of a femoral hernia. Strangulated richters umbilical hernia a case report. Kumar jayant 1, rajendra agarwal 2, swati agrawal 3.