PDF(Pubmed)
Abstract：
UNASSIGNED: As the Richter\'s hernia contains anti-mesenteric intestinal wall, patients usually do not present with obstructive symptoms. Consequently, this leads to delays in diagnosis and increased morbidity and mortality. Early detection and surgical treatment are therefore paramount to improving outcomes.
METHODS: A 51-year-old female presented with an incarcerated Richter\'s femoral hernia misdiagnosed as inguinal abscess that underwent incision and drainage. This developed into an enterocutaneous fistula (EC Fistula) and was eventually complicated by peritonitis, requiring laparotomy and herniorrhaphy. Post-operative recovery was uneventful.
UNASSIGNED: In advanced stages, Richter\'s femoral hernia may present with obstructive symptoms as in other incarcerated hernias. Richter\'s hernias may eventually present with obstructive symptoms in their advanced stages. Their relatively asymptomatic nature increases the risk of complications, such as enterocutaneous fistula.
CONCLUSIONS: This case highlights how an incarcerated Richter\'s femoral hernia in a female misdiagnosed as an abscess delayed treatment, increased patient morbidity with development of an enterocutaneous fistula and peritonitis, and mandated surgical exploration to control sepsis and repair the hernia.
METHODS: A 51-year-old female presented with an incarcerated Richter\'s femoral hernia misdiagnosed as inguinal abscess that underwent incision and drainage. This developed into an enterocutaneous fistula (EC Fistula) and was eventually complicated by peritonitis, requiring laparotomy and herniorrhaphy. Post-operative recovery was uneventful.
UNASSIGNED: In advanced stages, Richter\'s femoral hernia may present with obstructive symptoms as in other incarcerated hernias. Richter\'s hernias may eventually present with obstructive symptoms in their advanced stages. Their relatively asymptomatic nature increases the risk of complications, such as enterocutaneous fistula.
CONCLUSIONS: This case highlights how an incarcerated Richter\'s femoral hernia in a female misdiagnosed as an abscess delayed treatment, increased patient morbidity with development of an enterocutaneous fistula and peritonitis, and mandated surgical exploration to control sepsis and repair the hernia.
摘要：
■由于里氏疝含有抗肠系膜肠壁，患者通常不出现阻塞性症状。因此,这导致延误诊断,增加发病率和死亡率.因此，早期发现和手术治疗对于改善预后至关重要。
方法：一名51岁女性患者出现嵌顿的Richter股疝，误诊为腹股沟脓肿，行切开引流。这发展成肠外瘘（EC瘘），并最终并发腹膜炎，需要剖腹手术和疝修补术.术后恢复顺利。
■在后期阶段，Richter股疝可能与其他嵌顿性疝一样存在阻塞性症状。里氏疝在晚期最终可能会出现阻塞性症状。它们相对无症状的性质增加了并发症的风险，如肠皮肤瘘。
结论：这个案例突出了一个女性患者内嵌的Richter股疝被误诊为脓肿延迟治疗，随着肠皮瘘和腹膜炎的发展，患者的发病率增加，并要求手术探查以控制败血症和修复疝气。
方法：一名51岁女性患者出现嵌顿的Richter股疝，误诊为腹股沟脓肿，行切开引流。这发展成肠外瘘（EC瘘），并最终并发腹膜炎，需要剖腹手术和疝修补术.术后恢复顺利。
■在后期阶段，Richter股疝可能与其他嵌顿性疝一样存在阻塞性症状。里氏疝在晚期最终可能会出现阻塞性症状。它们相对无症状的性质增加了并发症的风险，如肠皮肤瘘。
结论：这个案例突出了一个女性患者内嵌的Richter股疝被误诊为脓肿延迟治疗，随着肠皮瘘和腹膜炎的发展，患者的发病率增加，并要求手术探查以控制败血症和修复疝气。
