Bhattacharya K, Ramakrishnan R, Gopalan T R
Department of Surgery, Sri Ramachandra Medical College & Research Institute, Chennai-600 116.
Trop Gastroenterol. 2002 Oct-Dec;23(4):195.
A 43 year old female was admitted with features of intestinal obstruction. On laparotomy, a strangulated Richter's hernia with an abscess within an incisional hernial sac through a previous lower segment caesarean section scar was diagnosed. Resection and anastomosis was performed. Strangulated Richter's hernia is a rare entity making up 8.3% of all strangulated hernias. There have been reports of Richter's hernia with strangulation in inguinal hernia, femoral hernia and port hernia after laparoscopic surgery but none so far in an incisional hernia.
一名43岁女性因肠梗阻症状入院。剖腹探查时,诊断出一个绞窄性里脱疝,通过既往下段剖宫产瘢痕处的切口疝囊内有脓肿形成。进行了切除和吻合术。绞窄性里脱疝是一种罕见疾病,占所有绞窄性疝的8.3%。已有腹股沟疝、股疝和腹腔镜手术后端口疝发生绞窄性里脱疝的报道,但迄今为止切口疝中尚未见此类报道。