RICHTER’S HERNIA PRESENTING AS FAECAL FISTULA IN FEMALE; A RARE ENTITY

Authors

  • Muhammad Khurram Zia
  • Hafsa Anwar
  • Sahira Naz
  • Hafiz Abdul Wase
  • Muhammad Saad Usmani
  • Taha Nafees

Abstract

Strangulated hernia in quite common in surgical practice and always present with its typical symptoms. In this hardly found unique case, a 76-year’s old female with no co morbid presented to us with abdominal pain, vomiting and diarrhoea initially and later developed left groin abscess after 4 days of swelling. It was assumed to be inguinal lymphadenitis leading to abscess formation but after complete evaluation on digital examination, diagnosis of Strangulated Femoral hernia of Richter type was made. This distinguishing presentation among the list of all hernias has to be discussed for the differential diagnosis.Keywords: Richter’s hernia; Fecal fistula; Hernia

References

Boughey JC, Nottingham JM, Walls AC. Richter’s hernia in the laparoscopic era: four case reports and review of the literature. Surg Laparosc Endosc Percutan Tech 2003;13(1):55–8.

Skandalaskis PN, Zoras O, Skandalakis JE, Miralis P. Richter hernia: surgical anatomy and technique of repair. Am Surg 2006;72(2):180–4.

Mou CY, Lu HE, Yen SJ, Su CJ, Tan KH, Ku ZA. Richter’s hernia: report of six cases. J Med Sci 2000;20(4):201–6.

Horbach JM. Invagination for Richter-type strangulated hernias. Trop Doct 1986;16(4):163–8.

Steinke W, Zellweger R. Richter’s hernia and Sir Frederick Treves: an original clinical experience, review, and historical overview. Ann Surg 2000;232(5):710–8.

Onakpoya UU, Lawal OO, Onovo OD, Oribabor FO. Fournier’s gangrene complicating ruptured Richter’s inguinal hernia. West Afr J Med 2007;26(4):316–8.

Guzzo JL, Bochicchio GV, Henry S, Keller E, Scalea TM. Incarcerated inguinal hernia in the presence of Fournier’s gangrene: a novel approach to a complex problem. Am Surg 2007;73(1):93–5.

Gillespie RW, Glas WN, Musselman M. Richter’s Hernia; its etiology, recognition, and managrment. AMA Arch Surg 1956;73(4):590–4.

Habib Faridi S, Siddiqui B, Amanullah Khan M, Anees A, Ali SA. Suprapubic Faecal Fistula due to Richter’s Inguinal Hernia: a case report and review of literature. Iran J Med Sci 2013;38(2):129–31.

Fluckiger R, Huber A. Richter's hernia. An unusual disease course and incidence in a personal patient sample. Chirurg 1993;64(10):822–6.

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Published

2017-09-01