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Femoral Richter Hernia: A Case Report and Literature Review

Author: Abdourahmane Ndong, Jacques Noel Tendeng, Adja Coumba Diallo, Fallou Gallas Niang, Mohamed Lamine Diao, Ibrahima Faye, Ndiamé Sarr, Saer Diop, Moustapha Diediou, Philippe Manyacka Ma Nyemb, Ibrahima Konaté

Category: JMSR Surgery


Richter hernia is defined as a partial hernial strangulation of the small bowel anti-mesenteric border. This clinical form has important diagnostic particularities such as a significant risk of intestinal necrosis and an absence of intestinal obstruction signs or palpable parietal mass. We report a case of a 72-year-old patient, gravida 6, and para 6 who consulted for abdominal pain evolving for 48 hours. An abdominal CT scan with contrast injection visualized a strangulated right femoral hernia containing the antimesenteric border of a small bowel part creating a Richter hernia confirmed by surgical exploration through an oblique inguinal incision. A McVay repair was performed. The postoperative course was uneventful. Richter's femoral hernia is a particular anatomic and clinical entity and represents a diagnostic challenge. A complete clinical examination is important to avoid diagnostic delay and the occurrence of complications. The treatment is surgical according to the contamination of the surgical field.

Keywords: CT scan, Femoral, Hernia, Necrosis, Richter

DOI: 10.46327/msrjg.1.000000000000219



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