title: Laparoscopy for perforated Richter hernia with incarcerated foreign body.
abstract: Children often place nonedible objects into their mouths. Occasionally, these objects are inadvertently swallowed, and fortunately, the majority passes spontaneously without intervention. We present the case of a 10-month-old girl who presented with an incarcerated Richter hernia through an indirect inguinal defect containing a wall of sigmoid colon perforated by a swallowed lollipop stick. Although this is a rare case, we conclude that prompt laparoscopic abdominal exploration is an extremely valuable tool in making an accurate diagnosis in difficult-to-reduce or incarcerated hernia cases.
authors.affiliation: Division of Pediatric Surgery, Department of Surgery, Women and Children's Hospital of Buffalo, State University of New York at Buffalo, Buffalo, NY 14222, USA.
authors.forename: Charles W
authors.initials: CW
authors.lastname: Hartin
authors.forename: Michael G
authors.initials: MG
authors.lastname: Caty
authors.forename: Kathryn D
authors.initials: KD
authors.lastname: Bass
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002182:Candy; D012809:Colon, Sigmoid; D003131:Combined Modality Therapy; D004487:Edema / Q000209:etiology; D004630:Emergencies; D004890:Erythema / Q000209:etiology; D005260:Female; D005334:Fever / Q000209:etiology; D005547:Foreign Bodies / Q000150:complications / Q000601:surgery*; D006552:Hernia, Inguinal / Q000150:complications / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D007223:Infant; D007416:Intestinal Perforation / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D010535:Laparoscopy; D010053:Ovary; D012810:Sigmoid Diseases / Q000209:etiology* / Q000601:surgery
chemical_list: D000900:Anti-Bacterial Agents