Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2013 Jun;38(2):129-31.

Suprapubic Fecal Fistula Due To Richter's Inguinal Hernia: A Case Report and Review of Literature

Shahbaz Habib Faridi  1 , Bushra Siddiqui, Mohd Amanullah Khan, Afzal Anees, Syed Asmat Ali
Affiliations
Case Reports

Suprapubic Fecal Fistula Due To Richter's Inguinal Hernia: A Case Report and Review of Literature

Shahbaz Habib Faridi et al. Iran J Med Sci. 2013 Jun.

Abstract

We encountered a 55-year-old man, who presented with an orifice in the suprapubic region, through which fecal material was discharged. On physical examination, the patient was unstable. After resuscitation, thorough evaluation, and laboratory and imaging investigations, he underwent an exploratory laparotomy. The ileum was entrapped at the deep inguinal ring, and there was some pus in the pelvic cavity. The purulent material was cleaned, and anastomosis was done after the resection of the defective ileal segment. In view of the rarity of this presentation and the paucity of published articles, this case is reported here.

Keywords: Cellulitis; Hernia; Inguinal ring.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Fecal fistula in the left suprapubic region
Figure 2
Figure 2
The fecal fistula in the left suprapubic region (2
Figure 3
Figure 3
Perforation in the terminal ileum when it was separated from the deep inguinal ring
See this image and copyright information in PMC

References

    1. Steinke W, Zellweger R. Richter’s hernia and Sir Frederick Treves: an original clinical experience, review, and historical overview. Ann Surg. 2000;232:710–8. doi: 10.1097/00000658-200011000-00014. PubMed PMID: 11066144. - PMC - PubMed
    1. Boughey JC, Nottingham JM, Walls AC. Richter’s hernia in the laparoscopic era: four case reports and review of the literature. Surg Laparosc Endosc Percutan Tech. 2003;13:55–8. doi: 10.1097/00129689-200302000-00014. PubMed PMID: 12598762. - PubMed
    1. Samad A, Sheikh GM. Spontaneous fecal fistula: a rare presentation of inguinal hernia. J Ayub Med Coll Abbottabad. 2005;17:77–9. PubMed PMID: 16599044. - PubMed
    1. Horbach JM. Invagination for Richter-type strangulated hernias. Trop Doct . 1986;16:163–8. PubMed PMID: 3775845. - PubMed
    1. Rattan KN, Garg P. Neonatal scrotal faecal fistula. Pediatr Surg Int. 1998;13:440–1. doi: 10.1007/s003830050363. PubMed PMID: 9639641. - PubMed

Publication types

LinkOut - more resources