Spontaneous Enterocutaneous Fistula Resulting from Richterís HerniaCorrespondence Address :
Dr. Ranendra Hajong,
Associate Professor, Department of General Surgery, NEIGRIHMS, Shillong-793018, Meghalaya, India.
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.
Delayed presentation, Inguinal fistula, Strangulated hernia
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: 2018 Feb 20 ]; 11:PD05-PD06. Available from
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.
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