Which of the following describes Richter’s hernia: September 2009
Correct Answer: Involves only a poion of the circumference of the bowel.
Description: Ans. C: Involves only a poion of the circumference of the bowel. The Richter hernia occurs when only the antimesenteric border of the bowel herniates through the fascial defect. The Richter hernia involves only a poion of the circumference of the bowel. As such, the bowel may not be obstructed, even if the hernia is incarcerated or strangulated, and the patient may not present with vomiting. The Richter hernia can occur with any of the various abdominal hernias and is paicularly dangerous, as a poion of strangulated bowel may be reduced unknowingly into the abdominal cavity, leading to perforation and peritonitis The strangulated loop of 'W' lies within the abdomen, so that local tenderness over the hernia is not marked is a feature of Maydl's hernia.
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Surgery
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