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2015, Number 1

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Rev Med MD 2015; 6.7 (1)

Richter's Hernia: A Case Report

Motta-Ramírez GA, Hernández-Hernández A, Guzmán-Barcenas J, Victorio-Vargas OD, Ramos-Díaz EE
Full text How to cite this article

Language: Spanish
References: 6
Page: 47-50
PDF size: 866.97 Kb.


Key words:

Abdominal pain, intestinal obstruction, Richter's hernia.

ABSTRACT

Intestinal obstruction syndrome represents a set of signs and symptoms caused by several gastrointestinal tract pathologies including luminal (bezoar, stones), extraluminal (adherences) or intramural pathologies (Crohn's Disease), peritoneal and systemic. The main clinical problems that arise are impossibility to evacuate gases and intestinal content. This problem represents 20% of surgical admissions and is one of the most frequent causes of intervention. Richter's hernia or partial enterocele, is a specific type of incarcerated hernia with impingement of the antimesenteric border of the small bowel. It only causes strangulation of that part of the intestinal wall circumference. Richter hernia is a very uncommon sickness. The diagnosis is difficult because signs and symptoms develop slowly and it is associated with high morbimortalitiy. We present the case of a patient with acute abdominal pain who was later diagnosed Richter's hernia.


REFERENCES

  1. Motta-Ramírez GA. Síndrome de obstrucción intestinal y su evaluación por TCMD. Obtenido de http://es.slideshare.net/betomotta/sindrome-de-obstruccion-intestinal

  2. Steinke W, Zellweger R. Richter's Hernia and Sir Frederick Treves: An original clinical experience, review and historical overview. Ann Surg. 2000 November; 232(5): 710-8.

  3. Kadirov S, Sayfan J, Friedman S, Orda R. Richter's hernia: a surgical pitfall. J Am Coll Surg 1996; 182: 60-62.

  4. Williams MD, Flowers SS, Fenoglio ME, Brown TR. Richter hernia: a rare complication of laparoscopy. Surg Laparosc Endosc 1995; 5: 419-421.

  5. Arellano-Borja A, Mojarra-Estrada JM, Ungson-Beltrán G. Hernia de Richter en sitio de puerto de 5 mm posterior a miomectomía laparoscópica, reparada con engrapadora mecánica endoscópica. Reporte de caso y revisión de la literatura. Perinatol Reprod Hum 2010; 24 (2): 117-121.

  6. Navarro-Ballester A, Marco-Domenech SF. Diagnóstico de la hernia de Richter por ecografía y TC: cuando el tiempo sí que es importante. Rev. Colomb. Radiol. 2014; 25(2): 3969-3971.




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Rev Med MD. 2015;6.7