Strangulated Richter's Hernia in an Indirect Inguinal Hernia

Mounir Bouali; Kabira Falousse; Anas El Wassi; Abdelilah El Bakouri; Khalid El Hattabi; Fatima Zahra Bensardi; Abdelaziz Fadil

doi:10.19044/esj.2023.v19n18p113

Mounir Bouali Department of Visceral Surgical Emergency, Faculty of Medicine and Pharmacy, University Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco
Kabira Falousse Department of Visceral Surgical Emergency, Faculty of Medicine and Pharmacy, University Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco
Anas El Wassi Department of Visceral Surgical Emergency, Faculty of Medicine and Pharmacy, University Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco
Abdelilah El Bakouri Department of Visceral Surgical Emergency, Faculty of Medicine and Pharmacy, University Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco
Khalid El Hattabi Department of Visceral Surgical Emergency, Faculty of Medicine and Pharmacy, University Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco
Fatima Zahra Bensardi Department of Visceral Surgical Emergency, Faculty of Medicine and Pharmacy, University Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco
Abdelaziz Fadil Department of Visceral Surgical Emergency, Faculty of Medicine and Pharmacy, University Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco

DOI: https://doi.org/10.19044/esj.2023.v19n18p113

Keywords: Richter hernia, inguinal hernia, Strangulation, Mortality

Abstract

Introduction: Richter's hernia is an abdominal hernia in which part of the circumference of the intestine is incarcerated in the hernia sac. Case report: We report a case of Richter's hernia incarcerated through an indirect inguinal hernia. The patient presented with an occlusive syndrome with an imaging appearance of a right inguinal hernial strangulation bowel obstruction. Surgical exploration revealed the presence of an indirect inguinal Richter's hernia with a viable bowel. Discussion: Richter's hernia is a rare hernia of the abdominal wall, it is known by the unusual clinical presentation and the often erroneous late diagnosis that leads to high morbidity and mortality rates. Therefore, with high clinical suspicion, an abdominal CT scan is recommended to establish a prompt diagnosis, as timely surgical intervention is important to reduce mortality. Conclusion: Surgery is the basis of its treatment, but prompt surgical intervention remains. Assessment of bowel viability is an essential part of the repair.

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