caa a22 4500 475751949 CHVBK 20180406123526.0 cr unu---uuuuu 170329e20000101xx s 000 0 eng 10.1007/PL00010050 doi (NATIONALLICENCE)springer-10.1007/PL00010050 Ileal Perforation Due to a Richter Hernia at the Drain Insertion Site Following an Operation for Idiopathic Rectal Perforation: Report of a Case [Elektronische Daten] [Kazuhiro Iwase, Jun Higaki, Shoki Mikata, Yasushi Tanaka, Masato Yoshikawa, Tomono Kishimoto, Kei Torigai, Wataru Kamiike] A case of a Richter hernia at the insertion site of the drainage tube following open abdominal surgery is reported. A 54-year-old man underwent an emergency operation for an idiopathic rectal perforation. A partial resection of the rectum and drainage using four 10-mm (outer diameter) drainage tubes with round cross sections was performed. Despite an uneventful early postoperative course, an emergency reoperation was required for peritonitis due to a bowel perforation 14 days after removing the drain inserted into the rectosacral space. A laparotomy revealed an incarcerated Richter hernia with ileal perforation through the 10-mm drainage site. The postoperative course after a partial resection of the ileum and drainage with Penrose drains was uneventful. This is the first report of a Richter hernia through the insertion site of a drainage tube in abdominal surgery. The possible occurrence of a Richter hernia in cases with postoperative drainage using large-size round drainage tubes should thus be considered in such patients.: Springer-Verlag Tokyo, 2000 Key Words: Richter hernia, drain, drainage tube nationallicence Iwase Kazuhiro Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital, 2-23 Rinku-Orai-Kita, Izumisano, Osaka 598, Japan, JP aut Higaki Jun Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital, 2-23 Rinku-Orai-Kita, Izumisano, Osaka 598, Japan, JP aut Mikata Shoki Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital, 2-23 Rinku-Orai-Kita, Izumisano, Osaka 598, Japan, JP aut Tanaka Yasushi Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital, 2-23 Rinku-Orai-Kita, Izumisano, Osaka 598, Japan, JP aut Yoshikawa Masato Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital, 2-23 Rinku-Orai-Kita, Izumisano, Osaka 598, Japan, JP aut Kishimoto Tomono Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital, 2-23 Rinku-Orai-Kita, Izumisano, Osaka 598, Japan, JP aut Torigai Kei Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital, 2-23 Rinku-Orai-Kita, Izumisano, Osaka 598, Japan, JP aut Kamiike Wataru Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital, 2-23 Rinku-Orai-Kita, Izumisano, Osaka 598, Japan, JP aut https://doi.org/10.1007/PL00010050 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/PL00010050 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Iwase Kazuhiro Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital, 2-23 Rinku-Orai-Kita, Izumisano, Osaka 598, Japan, JP aut NATIONALLICENCE 700 1- Higaki Jun Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital, 2-23 Rinku-Orai-Kita, Izumisano, Osaka 598, Japan, JP aut NATIONALLICENCE 700 1- Mikata Shoki Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital, 2-23 Rinku-Orai-Kita, Izumisano, Osaka 598, Japan, JP aut NATIONALLICENCE 700 1- Tanaka Yasushi Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital, 2-23 Rinku-Orai-Kita, Izumisano, Osaka 598, Japan, JP aut NATIONALLICENCE 700 1- Yoshikawa Masato Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital, 2-23 Rinku-Orai-Kita, Izumisano, Osaka 598, Japan, JP aut NATIONALLICENCE 700 1- Kishimoto Tomono Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital, 2-23 Rinku-Orai-Kita, Izumisano, Osaka 598, Japan, JP aut NATIONALLICENCE 700 1- Torigai Kei Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital, 2-23 Rinku-Orai-Kita, Izumisano, Osaka 598, Japan, JP aut NATIONALLICENCE 700 1- Kamiike Wataru Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital, 2-23 Rinku-Orai-Kita, Izumisano, Osaka 598, Japan, JP aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer