Richter Paraumbilical Hernia Managed by Invagination: A Case Report and Review of Literature

Richter Paraumbilical Hernia Managed by Invagination: A Case Report and Review of Literature

Author Info

Corresponding Author
Khaled Ahmed
General Surgery Department, Alexandria Main University Hospital, Alexandria, Egypt

A B S T R A C T

Background: Richter hernia is a peculiar type of enterocele, which may progress to fatal bowel perforation unless early intervention is made. It used to occur at femoral ring but occurrence at ventral hernia is extremely rare. Case presentation: We report a 60-year-old female patient with tender paraumbilical hernia with absolute constipation and vomiting. On examination the patient had a low-grade fever, while the swelling was tense, tender with no impulse on cough. Plain radiograph abdomen erect position was done revealing multiple air fluid level. Repair was done after invagination of the ischemic part of the bowel loop. Conclusion: ventral hernia may be of a Richter type. Management of ischemic loop in Richter hernia does not necessitate resection and anastomosis, as invagination only is enough. Repair of the defect is mandatory while mesh placement is conditional.

Article Info

Article Type
Case Report and Review of Literature
Publication history
Received: Sat 23, Nov 2019
Accepted: Fri 20, Dec 2019
Published: Fri 27, Dec 2019
Copyright
© 2019 Khaled Ahmed. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository. All rights reserved.
DOI: 10.31487/j.AJSCR.2019.01.05