Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

Users Online : 26250

Case report
Year : 2017 | Month : August | Volume : 11 | Issue : 8 | Page : PD05 - PD06

Spontaneous Enterocutaneous Fistula Resulting from Richterís Hernia

Ranendra Hajong, Donkupar Khongwar, Ojing Komut, Narang Naku, Kappa Baru

1. Associate Professor, Department of General Surgery, NEIGRIHMS, Shillong, Meghalaya, India. 2. Assistant Professor, Department of General Surgery, NEIGRIHMS, Shillong, Meghalaya, India. 3. Assistant Professor, Department of General Surgery, NEIGRIHMS, Shillong, Meghalaya, India. 4. Senior Resident, Department of General Surgery, NEIGRIHMS, Shillong, Meghalaya, India. 5. Senior Resident, Department of General Surgery, NEIGRIHMS, Shillong, Meghalaya, India.

Correspondence Address :
Dr. Ranendra Hajong,
Associate Professor, Department of General Surgery, NEIGRIHMS, Shillong-793018, Meghalaya, India.
E-mail: ranenhajong@gmail.com

Abstract

Richterís hernia is due to the entrapment of a part of circumference of the bowel wall. As the bowel continuity is maintained, the patients usually do not have intestinal obstruction. Some patients with Richterís hernia may present with enterocutaneous fistula either spontaneous or due to surgical intervention mistaking the obstructed hernia to be inguinal abscess. This is more so in developing countries due to lack of awareness among the masses or due to the delay in seeking medical attention. Presenting here is a case of a 53-year-old male patient with enterocutaneous fistula which occurred spontaneously and sought medical attention only after about three years of repeated discharge of yellowish fluid from the left inguinal region. Magnetic resonance fistulogram confirmed the diagnosis of enterocutaneous fistula. Laparotomy with resection and primary anastomosis of the fistulous bowel was done. Patient recovered uneventfully without any complications or recurrence.

Keywords

Delayed presentation, Inguinal fistula, Strangulated hernia

How to cite this article :

Ranendra Hajong, Donkupar Khongwar, Ojing Komut, Narang Naku, Kappa Baru. SPONTANEOUS ENTEROCUTANEOUS FISTULA RESULTING FROM RICHTERíS HERNIA. Journal of Clinical and Diagnostic Research [serial online] 2017 August [cited: 2017 Oct 19 ]; 11:PD05-PD06. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=August&volume=11&issue=8&page=PD05-PD06&id=10370

DOI and Others

DOI: 10.7860/JCDR/2017/27789.10370

Date of Submission: Feb 22, 2017
Date of Peer Review: Apr 08, 2017
Date of Acceptance: May 30, 2017
Date of Publishing: Aug 01, 2017

FINANCIAL OR OTHER COMPETING INTERESTS: None.

JCDR is now Monthly and more widely Indexed .
  • PubMed Centralģ (PMC)New
  • Academic Search Complete Database
  • Chemical Abstracts Service
  • Directory of Open Access Journals (DOAJ)
  • EBSCOhostNew
  • Embase & EMbiology
  • Google Scholar
  • HINARI Access to Research in Health Programme
  • Indian Science Abstracts (ISA)
  • Journal seek Database
  • Open J-Gate
  • Popline (reproductive health literature)
  • SCOPUS
  • www.omnimedicalsearch.com