Presentation
Abdominal pain and distention.
Patient Data
Age: 75 years
Gender: Female
From the case:
Richter hernia
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Focal herniation of the antimesenteric (anterior) wall of a small bowel loop is noted with no signs of obstruction or strangulation.
Case Discussion
Richter's hernia is a type of abdominal wall hernias where there is herniation of an antimesenteric wall of the bowel through an abdominal wall defect, usually occurring in elderly.
Richter's hernia can be complicated by incarceration and subsequent ischemia of the bowel. Surgery is often indicated, however, if the patient is asymptomatic, the surgery can be done electively.
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