Spontan inguinal enterokutan fistül, hapsedilen Richter fıtığının istisnai bir komplikasyonu: Olgu sunumu

Year 2019, , 417 - 418, 28.05.2019

Zabeirou Oudou Aliou , Badri Mourad , Souiki Tarek İbn Majdoub Karim Toughrai Imane Mazaz Khalid

https://doi.org/10.28982/josam.537893

Abstract

Richter fıtığı, bağırsak duvarının çevresinin sadece bir bölümünün fıtık deliğinde sıkışıp boğulduğu karın fıtığı olarak tanımlanabilir. Femoral halka en yaygın olanı olup, çeşitli pozisyonlarda ortaya çıkabilir. Bağırsak devamlılığı korunduğundan, hastalarda genellikle bağırsak tıkanıklığı yoktur. Spontan enterokutan fistül, inguinal Richter fıtığının nadir görülen bir komplikasyonudur. Bu çalışmada sağ inguinal bölgede spontan olarak ortaya çıkan enterokutan fistülü olan 75 yaşında bir kadın hasta sunuldu. Abdominal bilgisayarlı tomografi taraması enterokutan fistül tanısını doğruladı. Rezeksiyon ve sağ bağırsakta primer anastomoz ile sağ seliotomi yapıldı. Hasta herhangi bir komplikasyon veya nüks olmadan sorunsuz bir şekilde iyileşti.

Keywords

Enterokutan fistül, Femoral halka, İnguinal, Richter fıtığı, Spontan

Spontaneous inguinal enterocutaneous fistula, as an exceptional complication of incarcerated Richter’s hernia: A case report

Abstract

Richter’s hernia may be defined as an abdominal hernia in which only part of the circumference of the bowel wall is entrapped and strangulated in the hernial orifice. It occurs at various positions with femoral ring being the most common. As the bowel continuity is maintained, the patients usually do not have intestinal obstruction. The spontaneous enterocutaneous fistula is a rare complication of inguinal Richter’s hernia. We report a case of a 75 year old female patient with enterocutaneous fistula which occurred spontaneously in the right inguinal region. Abdominal computed tomography scan confirmed the diagnosis of enterocutaneous fistula. We performed a right celiotomy with resection and primary anastomosis of the fistulous bowel. Patient recovered uneventfully without any complications or recurrence.

Keywords

Enterocutaneous fistula, Inguinal, Richter’s hernia, Femoral ring, Spontaneous

References

• 1. Steinke W, Zellweger R. Richter’s hernia and Sir Frederick Treves: an original clinical experience, review, and historical overview. Ann Surg. 2000;232 :710–18.
• 2. Ahi KS, Moudgil A, Aggarwal K, Sharma C, Singh K. A rare case of spontaneous inguinal faecal fistula as a complication of incarcerated Richter's hernia with brief review of literature. BMC Surg. 2015;15:67.
• 3. Elenwo SN, Igwe PO, Jamabo RS, Sonye US. Spontaneous entero-labial fistula complicating Richters hernia: Report of a case. Int J Surg Case Rep. 2016;20:27-9.
• 4. Hajong R, Khongwar D, Komut O, Naku N, Baru K. Spontaneous Enterocutaneous Fistula Resulting from Richter's Hernia. J Clin Diagn Res. 2017;11(8):5-6.
• 5. Talukder S, Gupta A, Singh BN, Kaman L, Reddy PA. Fistulating Richter's Hernia of Groin with Necrotizing Soft Tissue Infection: A Lethal Combination. J Clin Diagn Res. 2017;11(7):5-7.
• 6. Yeboah MO. Entero-scrotal fistula in a Ghanaian adult: a case report of the Spontaneous rupture of a neglected strangulated inguinal hernia. Hernia 2011;15(4):455–7.
• 7. Koshariya M, Naik S, Rai A. Incarcerated inguinal hernia presenting as Spontaneous scrotal faecal fistula. Hernia. 2006;10(5):434–5.
• 8. Malik P, Rathi M, Kumar K, et al. Scrotal enterocutaneous fistula: a rare initial presentation of inguinal hernia. J Surg Case Rep. 2014;2014(6):56.
• 9. Rajamanickam S, Yadav A, Singh D, Sonkar AA. A complicated true sliding hernia presenting as a spontaneous enteroscrotal fistula in adults. J Emerg Trauma Shock. 2010;3:62–5.
• 10. Horbach JM. Invagination for Richter-type strangulated hernias. Trop Doct. 1986;16:163–8.