Richter hernia

Case contributed by Dr Safwat Mohammad Almoghazy

Presentation

Follow-up of metastatic colorectal cancer to ovaries.

Patient Data

Age: 65 years
Gender: Female
CT

There is a right paraumbilical hernia containing fatty omentum and a small portion of the anti-mesenteric border of the transverse colon. Findings are in keeping with a Richter hernia.

Annotated image

The red arrow points to a small portion of the anti-mesenteric border of the transverse colon.

Case Discussion

Follow up for metastatic colorectal cancer to ovaries shows a stable right paraumbilical hernia containing fatty omentum and newly developed herniation of a small portion of the anti-mesenteric border of the large bowel (Richter hernia).

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