A combined Richter's and de Garengeot's hernia

• DOI: 10.1016/j.ijscr.2014.03.022
• Publication Date: 2014-08-15T17:53:13Z
• Authors: Hau D. Le; Stephen R. Odom; Albert Hsu; Alok Gupta; Carl J. Hauser
• Keywords: Femoral hernia; Abdominal computed tomography

de Garengeot's hernia is very rare. Richter's responsible for 10% of acute strangulated hernias.A 91-year-old woman with three days abdominal distention was found on computed tomogram to have an incarcerated femoral hernia. Operation revealed a combined small bowel. Primary repair performed along appendectomy.We discuss these rare hernias, not previously reported in combination, and options management.Combined hernias are rare, represent significant diagnostic challenge, should be repaired urgently prevent ischemic bowel, or limit contamination if ischemia already present. Use tomography will likely lead increased pre-operative diagnosis this entity.