TY - JOUR
AR - AJSCR-2019-1-105
TI - Richter Paraumbilical Hernia Managed by Invagination: A Case Report and Review of Literature
AU - A Abo-elmagd, 
AU - Khaled, Ahmed
JO - American Journal of Surgical Case Reports
PY - 2019
DA - Fri 27, Dec 2019
SN - 2674-5046
DO - http://dx.doi.org/10.31487/j.AJSCR.2019.01.05
UR - https://www.sciencerepository.org/richter-paraumbilical-hernia-managed-by-invagination_AJSCR-2019-1-105 
KW - Richter hernia, paraumbilical hernia, invagination 
AB - Background: Richter hernia is a peculiar type of enterocele, which may progress to fatal bowel perforation
unless early intervention is made. It used to occur at femoral ring but occurrence at ventral hernia is
extremely rare.
Case presentation: We report a 60-year-old female patient with tender paraumbilical hernia with absolute
constipation and vomiting. On examination the patient had a low-grade fever, while the swelling was tense,
tender with no impulse on cough. Plain radiograph abdomen erect position was done revealing multiple air
fluid level. Repair was done after invagination of the ischemic part of the bowel loop.
Conclusion: ventral hernia may be of a Richter type. Management of ischemic loop in Richter hernia does
not necessitate resection and anastomosis, as invagination only is enough. Repair of the defect is mandatory
while mesh placement is conditional.