A case report of a rare strangulated incisional umbilical Richter’s hernia of the transverse colon


  • Blake A. Sykes Department of General Surgery, Rockhampton Base Hospital, Rockhampton, Queensland Australia
  • Chitrakanti R. Kapadia Department of General Surgery, Rockhampton Base Hospital, Rockhampton, Queensland Australia




Abdominal hernia, Richter's hernia, Ventral abdominal hernia, Hernia


Richter’s hernias are not uncommon, however there have been very few articles which describe this type of hernia of the transverse colon. This case report is regarding a 76-year-old gentleman who presented with periumbilical pain and obstipation and was found to have a Richter’s hernia of the anti-mesenteric transverse colon. He underwent an open extended right hemicolectomy to resect the strangulated contents of the hernia and made good recovery subsequently. Upon review of the literature, it is clear that this is a very rare content for a Richter’s hernia and we believe this is the second report of an incisional Richter’s hernia of this kind. This case report and the discussion of the literature reminds us of the pathology of a Richter’s hernia and the principles of its investigation and management.


Kim R, McCoy M, Bistolarides P, Merchant AM. Richter's epigastric hernia with transverse colon strangulation. Am Surgeon. 2012;78(5):301-3.

Katragadda K, DeStefano LM, Khan MF. A Case of Richter Hernia: A Rare Entity. ACS Case Reviews in Surgery. 2019;2(3):5-7.

Steinke W, Zellweger R. Richter’s hernia and Sir Frederick Treves: an original clinical experience, review, and historical overview. Annals of surgery. 2000;232(5):710.

Richter AG. Abhandlung von den Brüchen. Bey Johann Christian Dieterich. 1785.

Horbach JM. Invagination for Richter-type strangulated hernias. Tropical doctor. 1986;16(4):163-8.

Skandalakis PN, Zoras O, Skandalakis JE, Mirilas P. Richter hernia: surgical anatomy and technique of repair. Am Surgeon. 2006;72(2):180-4.

Arkoulis N, Savanis G, Simatos G. Richter’s type strangulated femoral hernia containing caecum and appendix masquerading as a groin abscess. J Surgical Case Rep. 2012;2012(6):6.

Giokas G, Karakousis CP. Richter hernia of the stomach. J Surgical Oncol. 1998;69(1):51-3.

Newerla GJ, Connally EF. Gangrenous appendicitis in femoral hernia of Richter's type. Am J Surg. 1943;61(1):154-6.

Forrest JV, Stanley RJ. Transverse colon in adult umbilical hernia. Am J Roentgenol. 1978;130(1):57-9.






Case Reports