Flückiger R, Huber A
Chirurgische Klinik, Kantonsspital Bruderholz.
Chirurg. 1993 Oct;64(10):822-6.
Richter's hernia is a special type of incarcerated hernia with strangulation of only a part of the circumference of the bowel wall. Diagnosis may be delayed for the frequent absence of intestinal obstruction or the mild local signs especially in the femoral site. Untreated, there may be formation of an abscess without communication to the peritoneal cavity with secondary formation of an enterocutaneous fistula. We describe the history of a 87 years old patient with a femoral hernia and formation of an enterocutaneous fistula 9 months after incarceration. Discussion with review of the literature.
里氏疝是一种特殊类型的嵌顿疝，仅肠壁圆周的一部分发生绞窄。由于常无肠梗阻表现或局部体征轻微，尤其是在股疝部位，诊断可能会延迟。若不治疗，可能会形成与腹膜腔不连通的脓肿，并继而形成肠皮肤瘘。我们描述了一名87岁患有股疝的患者在嵌顿9个月后形成肠皮肤瘘的病史。并结合文献进行讨论。
