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  • Title: Laparoscopy for perforated Richter hernia with incarcerated foreign body.
    Author: Hartin CW, Caty MG, Bass KD.
    Journal: J Pediatr Surg; 2011 Jul; 46(7):1449-51. PubMed ID: 21763852.
    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.
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