里希特疝。

Richter's hernia.

机构信息

Department of Hepatobiliary and Pancreatic Surgery, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi 110076, India.

出版信息

Clin Imaging. 2013 May-Jun;37(3):593-4. doi: 10.1016/j.clinimag.2012.06.010. Epub 2012 Aug 11.

DOI:10.1016/j.clinimag.2012.06.010

PMID:23601775

Abstract

Richter's hernia is associated with rapid onset of gangrene and a high mortality. We report a case of a strangulated inguinal Richter's hernia of the cecum requiring a laparotomy and bowel resection. Due to the misleading clinical presentation, a high index of suspicion, particularly in patients with a history of laparoscopic surgery, will minimize delay in diagnosis.

摘要

Richter 疝常伴有迅速发生的坏疽和高死亡率。我们报告了一例盲肠绞窄性 Richter 疝的病例，需要进行剖腹手术和肠切除术。由于临床表现具有误导性，因此，特别是对于有腹腔镜手术史的患者，高度怀疑会最大程度减少诊断延误。