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Rare Presentation of Incarcerated Incisional Richter's Hernia of the Cecum

Richter’s hernia, also called a partial enterocele, involves a protrusion of peritoneum with subsequent strangulation or incarceration of only part of the lumen of the anti-mesenteric portion of the small bowel through a fascial defect. We report a rare presentation of incarcerated incisional Richte...

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Autores principales: Schmuter, Gabriella, Narula, Nisha, Mukherjee, Indraneil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8423117/
https://www.ncbi.nlm.nih.gov/pubmed/34540382
http://dx.doi.org/10.7759/cureus.16971
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author Schmuter, Gabriella
Narula, Nisha
Mukherjee, Indraneil
author_facet Schmuter, Gabriella
Narula, Nisha
Mukherjee, Indraneil
author_sort Schmuter, Gabriella
collection PubMed
description Richter’s hernia, also called a partial enterocele, involves a protrusion of peritoneum with subsequent strangulation or incarceration of only part of the lumen of the anti-mesenteric portion of the small bowel through a fascial defect. We report a rare presentation of incarcerated incisional Richter’s hernia of the cecum in a 39-year-old female. The patient presented with acute abdominal pain that gradually improved. Physical examination revealed right lower quadrant tenderness and nodularity just above an abdominoplasty scar. Subsequent computed tomography scan demonstrated a 1 cm by 1 cm hypovascular pocket arising from the cecum with protrusion into the anterior abdominal wall. The hernia was successfully repaired surgically with resolution of symptoms. It is essential for clinicians to be mindful of the diagnosis of Richter’s hernia on the differential for abdominal pain as the risk of detrimental outcomes increases with delayed surgical intervention.
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spelling pubmed-84231172021-09-17 Rare Presentation of Incarcerated Incisional Richter's Hernia of the Cecum Schmuter, Gabriella Narula, Nisha Mukherjee, Indraneil Cureus Gastroenterology Richter’s hernia, also called a partial enterocele, involves a protrusion of peritoneum with subsequent strangulation or incarceration of only part of the lumen of the anti-mesenteric portion of the small bowel through a fascial defect. We report a rare presentation of incarcerated incisional Richter’s hernia of the cecum in a 39-year-old female. The patient presented with acute abdominal pain that gradually improved. Physical examination revealed right lower quadrant tenderness and nodularity just above an abdominoplasty scar. Subsequent computed tomography scan demonstrated a 1 cm by 1 cm hypovascular pocket arising from the cecum with protrusion into the anterior abdominal wall. The hernia was successfully repaired surgically with resolution of symptoms. It is essential for clinicians to be mindful of the diagnosis of Richter’s hernia on the differential for abdominal pain as the risk of detrimental outcomes increases with delayed surgical intervention. Cureus 2021-08-07 /pmc/articles/PMC8423117/ /pubmed/34540382 http://dx.doi.org/10.7759/cureus.16971 Text en Copyright © 2021, Schmuter et al. https://creativecommons.org/licenses/by/3.0/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.
spellingShingle Gastroenterology
Schmuter, Gabriella
Narula, Nisha
Mukherjee, Indraneil
Rare Presentation of Incarcerated Incisional Richter's Hernia of the Cecum
title Rare Presentation of Incarcerated Incisional Richter's Hernia of the Cecum
title_full Rare Presentation of Incarcerated Incisional Richter's Hernia of the Cecum
title_fullStr Rare Presentation of Incarcerated Incisional Richter's Hernia of the Cecum
title_full_unstemmed Rare Presentation of Incarcerated Incisional Richter's Hernia of the Cecum
title_short Rare Presentation of Incarcerated Incisional Richter's Hernia of the Cecum
title_sort rare presentation of incarcerated incisional richter's hernia of the cecum
topic Gastroenterology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8423117/
https://www.ncbi.nlm.nih.gov/pubmed/34540382
http://dx.doi.org/10.7759/cureus.16971
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