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

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Case report
Year : 2017 | Month : July | Volume : 11 | Issue : 7 | Page : PD05 - PD07

Fistulating Richterís Hernia of Groin with Necrotizing Soft Tissue Infection: A Lethal Combination

Shibojit Talukder, Ashish Gupta, Basant Narayan Singh, Lileswar Kaman, P Abhinaya Reddy

1. Senior Resident, Department of General Surgery, Pgimer, Chandigarh, India. 2. Senior Medical Officer, Department of Hospital Administration, Pgimer, Chandigarh, India. 3. Senior Resident, Department of General Surgery, Pgimer, Chandigarh, India. 4. Professor, Department of General Surgery, Pgimer, Chandigarh, India. 5. Senior Resident, Department of General Surgery, Pgimer, Chandigarh, India.

Correspondence Address :
Dr. Lileswar Kaman,
Department of General Surgery, Pgimer, Chandigarh-160012, India.
E-mail: drashish0403@yahoo.in

Abstract

Strangulation of groin hernia can result in significant morbidity and mortality. Spontaneous external fistulation following strangulation is rare and typically occurs with Richterís hernia. Spreading Necrotizing Soft Tissue Infection (NSTI) secondary to Enterocutaneous Fistula (ECF) is an ominous sign, further worsening its prognosis. Early diagnosis and prompt surgical treatment is crucial to improve outcome. Herewith the authors are presenting a case of neglected inguinal hernia. It was complicated with ECF formation and rapidly spreading NFTI of flank. He underwent resection and anastomosis of the gangrenous bowel, anatomical repair of the hernia along with soft tissue debridement of flank region. This patient however succumbed to sepsis with multi organ dysfunction. Significant delay in seeking medical care led to dismal outcome.

Keywords

Enterocutaneous fistula, Necrotizing soft tissue infection, Richterís hernia, Strangulated hernia

How to cite this article :

Shibojit Talukder, Ashish Gupta, Basant Narayan Singh, Lileswar Kaman, P Abhinaya Reddy. FISTULATING RICHTERíS HERNIA OF GROIN WITH NECROTIZING SOFT TISSUE INFECTION: A LETHAL COMBINATION. Journal of Clinical and Diagnostic Research [serial online] 2017 July [cited: 2017 Jul 21 ]; 11:PD05-PD07. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=July&volume=11&issue=7&page=PD05-PD07&id=10195

DOI and Others

DOI: 10.7860/JCDR/2017/28201.10195


Date of Submission: Mar 08, 2017
Date of Peer Review: Apr 22, 2017
Date of Acceptance: Apr 22, 2017
Date of Publishing: Jul 01, 2017


Financial OR OTHER COMPETING INTERESTS: None.

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