Strangulated Richter's Hernia in an Indirect Inguinal Hernia

Introduction: Richter's hernia is an abdominal hernia in which part of the circumference of the intestine is incarcerated in the hernia sac. Case report: We report a case of Richter's hernia incarcerated through an indirect inguinal hernia. The patient presented with an occlusive syndrome with an imaging appearance of a right inguinal hernial strangulation bowel obstruction. Surgical exploration revealed the presence of an indirect inguinal Richter's hernia with a viable bowel. Discussion: Richter's hernia is a rare hernia of the abdominal wall, it is known by the unusual clinical presentation and the often erroneous late diagnosis that leads to high morbidity and mortality rates. Therefore, with high clinical suspicion, an abdominal CT scan is recommended to establish a prompt diagnosis, as timely surgical intervention is important to reduce mortality. Conclusion: Surgery is the basis of its treatment, but prompt surgical intervention remains. Assessment of bowel viability is an essential part of the repair

Strangulated Richter's Hernia in an Indirect Inguinal Hernia

Introduction: Richter's hernia is an abdominal hernia in which part of the circumference of the intestine is incarcerated in the hernia sac. Case report: We report a case of Richter's hernia incarcerated through an indirect inguinal hernia. The patient presented with an occlusive syndrome with an imaging appearance of a right inguinal hernial strangulation bowel obstruction. Surgical exploration revealed the presence of an indirect inguinal Richter's hernia with a viable bowel. Discussion: Richter's hernia is a rare hernia of the abdominal wall, it is known by the unusual clinical presentation and the often erroneous late diagnosis that leads to high morbidity and mortality rates. Therefore, with high clinical suspicion, abdominal CT scan is recommended to establish a prompt diagnosis, as timely surgical intervention is important to reduce mortality. Conclusion: Surgery is the basis of its treatment, but prompt surgical intervention remains. Assessment of bowel viability is an essential part of the repair

Strangulated Richter's Hernia in an Indirect Inguinal Hernia

Introduction: Richter's hernia is an abdominal hernia in which part of the circumference of the intestine is incarcerated in the hernia sac. Case report: We report a case of Richter's hernia incarcerated through an indirect inguinal hernia. The patient presented with an occlusive syndrome with an imaging appearance of a right inguinal hernial strangulation bowel obstruction. Surgical exploration revealed the presence of an indirect inguinal Richter's hernia with a viable bowel. Discussion: Richter's hernia is a rare hernia of the abdominal wall, it is known by the unusual clinical presentation and the often erroneous late diagnosis that leads to high morbidity and mortality rates. Therefore, with high clinical suspicion, abdominal CT scan is recommended to establish a prompt diagnosis, as timely surgical intervention is important to reduce mortality. Conclusion: Surgery is the basis of its treatment, but prompt surgical intervention remains. Assessment of bowel viability is an essential part of the repair

Paragangliome retropéritonéal: à propos d’un cas et revue de literature

Les paragangliomes rétropéritonéaux non fonctionnels sont des tumeurs rares. Ils sont définis comme des tumeurs chromaffines extrasurrénaliennes et représentent environ 1/5ème des tumeurs chromaffines. Ils sont souvent asymptomatiques et peuvent atteindre des dimensions importantes. Nous rapportons l'observation d'une patiente âgée de 34 ans opérée pour une tumeur rétropéritonéale géante et dont l'examen anapath a conclu à un paragangliome. Les formes malignes, plus fréquentes que les formes bénignes, présentent un envahissement locorégional et métastasent tardivement. La prise en charge des paragangliomes doit être multidisciplinaire mais seul le traitement chirurgical est curatif. Il n'existe par contre pas de consensus sur l'utilité des thérapeutiques complémentaires qui peuvent néanmoins constituer un appoint à titre symptomatique. Les paragangliomes présentent un caractère génétique dans 25% des cas. Une enquête génétique doit être systématiquement proposée.Pan African Medical Journal 2015; 21

Total rupture of hydatid cyst of liver in to common bile duct: a case report

Rupture of hydatid liver cyst into biliary tree is frequent complications that involvethe common hepatic duct, lobar biliary branches, the small intrahepatic bile ducts,but rarely rupture into common bile duct. The rupture of hydatid cyst is serious life threating event. The authors are reporting a case of total rupture of hydatid cyst of liver into common bile duct. A 50-year-old male patient who presented with acute cholangitis was diagnosed as a case of totally rupture of hydatid cyst on Abdominal CT Scan. Rupture of hydatid cyst of liver into common bile duct and the gallbladder was confirmed on surgery. Treated by cholecystectomy and T-tube drainage of Common bileduct. Key words: hydatid liver cyst, Rupture, Common bile duct (CBD),jaundice

Hernie transmesenterique congenitale de l’adulte : cause rare d’occlusion intestinale: Congenital transmesenteric hernia in adult: rare cause of intestinal obstruction

The Transmesenteric hernias in adult correspond to the passage of small bowel intestine through an abnormal mesenteric defect. This type of hernias is usually post operative. The other etiologies encompass traumatic, inflammatory, or congenital origins. Even though they are rare, their anatomical and clinical characteristics are varied. We report the case of post-ischemic necrosis of the small bowel strangulated through a mesenteric congenital defect in adult. The aim of this report is to describe the diagnostic and therapeutic strategy for transmesenteric hernias. Les hernies transmésentériques de l’adulte correspondent à une issue d’intestin à travers un orifice intra-abdominal anormal. Elles sont habituellement la conséquence d’une intervention chirurgicale. D’autres étiologies sont rarissimes incluant les causes traumatique, inflammatoire, ou congénitale. Malgré leur rareté, elles ont des caractéristiques anatomiques et cliniques variées. Nous rapportons le cas d’une nécrose ischémique d’une anse grêlique par strangulation à travers une brèche mésentérique congénitale chez un adulte. Le but est de partager les astuces ainsi que les stratégies diagnostiques et thérapeutiques devant les hernies transmésentériques. &nbsp