Richter's hernia is a deceptive entity with a high mortality which can be reduced by accurate diagnosis and early operation. Richter's hernia, or partial enterocele, is a protrusion of the antimesenteric surface of bowel wall into any abdominal hernia. It is deceptive because strangulation may occur early; frequently, in the absence of obstructive symptoms. The high mortality associated with this lesion has resulted from misdiagnosis and delayed operation.
Review of Material
A recent review of acute mechanical intestinal obstruction at this hospital indicated that 13% of the cases of incarcerated or strangulated hernia were of the Richter's type. The conflicting physical and roentgen findings and the mortality of 33% in this group stimulated further study.We have had experience with 20 patients with Richter's hernia. The average age was 70 years; the youngest patient was 8 years of age, and the oldest, 90 years of age. Twelve of the patients
GILLESPIE RW, GLAS WW, MERTZ GH, MUSSELMAN MM. Richter 's Hernia erniaIts Etiology, Recognition, and Management. AMA Arch Surg. 1956;73(4):590–594. doi:10.1001/archsurg.1956.01280040046005
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