Fistulating Richterís Hernia of Groin with Necrotizing Soft Tissue Infection: A Lethal CombinationCorrespondence Address :
Dr. Lileswar Kaman,
Professor, Department of General Surgery, Pgimer, Chandigarh-160012, India.
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 NSTI 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.
Enterocutaneous fistula, Metronidazole, Strangulated hernia
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 Sep 20 ]; 11:PD05-PD07. Available from
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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