Femoral hernia causing pneumoperitoneum.

Area of Science:

• Gastroenterology
• Surgical Case Reports
• Abdominal Surgery

Background:

• Richter's hernia, a complication of femoral hernia, involves partial intestinal strangulation within the sac.
• Femoral hernias are common, but Richter's presentation is less frequently reported.

Observation:

• A 39-year-old female presented with pneumoperitoneum, indicating free air in the abdominal cavity.
• Laparotomy revealed a right femoral hernia containing a perforated segment of small intestine.

Findings:

• The case details a previously unreported presentation of femoral hernia.
• The patient had a Richter's hernia with a perforated small bowel, leading to pneumoperitoneum.

Implications:

• This case highlights the importance of considering Richter's hernia in patients with femoral hernias, even with unusual presentations.
• Early diagnosis and surgical intervention are crucial for managing complications like bowel perforation.