For each of the hernia is referred to its history, frequency, clinical presentation, diagnosis and differential diagnosis and its treatment. In a hiatal hernia, your stomach bulges up into your chest through an opening in your diaphragm. Meckel diverticulum as the sole component of the hernia sac. Dicha hernia fue descrita por primera vez en 1598 1. Richters hernia is a type of hernia that involves the antimesenteric border of small intestine. For example, in the case of an inguinal hernia, you may notice a lump on. Richter hernia is a less known entity of the hernia family. Richter s hernia have also been noted in laparoscopic portsites, usually when the fascia is not closed for ports larger than 10mm.
The richter hernia is a rare condition characterized by the protrusion with incarceration or. They occur adjacent to a stoma and are particularly dif. Laparoscopic diagnosis and desincarceration of inguinal richter hernia. Richters hernia may occur in any usual hernial site, but it seems most likely to occur in small hernial rings with firm margins. Other hernias less common hernias include a interparietal, richter, and littre hernias of the abdominal wall. A richter s hernia can result in strangulation and necrosis in the absence of intestinal obstruction. The antimesenteric border of the intestine must protrude into the hernia sac the most common location is at the site of a femoral hernia. Learn more about the symptoms, causes, diagnosis, and treatment including home remedies of a. Abd wall hernias university of tennessee college of medicine. Surgical oasis institute dr iraniha robotic surgery 45,767 views. Different type of hernia surgery symptoms and recovering part1 duration. It is a relatively rare but dangerous type of hernia. Richter s hernia is a deceptive entity whose high death rate can be reduced by accurate diagnosis and early surgery.
Richter hernia partial enterocele is the protrusion andor strangulation of only part of the circumference of the intestines antimesenteric border through a. Pdf laparoscopic diagnosis and desincarceration of. Kumar jayant 1, rajendra agarwal 2, swati agrawal 3. Hernia inguinal diagnostico y tratamiento mayo clinic. These hernias progress more rapidly to gangrene than other strangulated hernias but obstruction is less frequent. Critical to the repair of richters hernia is an adequate evaluation of the intestine for viability. H rnias raras da parede abdominal miguel passos morgado. 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. 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. We report a case of strangulated richter s umbilical hernia in a 36 years old male. Only the antimesenteric wall of the loop of small bowel has herniated, without compromising the lumen. Richter hernias are an abdominal hernia where only a portion of the bowel wall is herniated and comprise 10% of strangulated hernias. Richter s hernia is a deceptive entity with a high mortality which can be reduced by accurate diagnosis and early operation. All the patients presented a severe deterioration of their general condition and marked dehydration.
It is deceptive because strangulation may occur early. Richter s hernia is a deceptive entitywith a high mortality which can be reduced by accurate diagnosis and early operation. Although not well known and overall rare, richter hernias can lead to grave clinical. A richters hernia occurs when the antimesenteric wall of the intestine protrudes through a defect in the abdominal wall. Strangulated richters umbilical hernia a case report. The most common symptom of a hernia is a bulge or lump in the affected area. In whites, the most common site is the femoral ring 3688%, followed by the inguinal canal 1236% and abdominal wall incisional hernia 425%. Richter s hernia, or partial enterocele, is a protrusion of the antimesenteric surface of bowel wall into any abdominal hernia.