Abstract
Objective: Presentation of the clinical picture of a patient who presented Richter's hernia, a rare condition. Case details: Patient, 64 years old, presented with abdominal pain and distension, nausea and vomiting, 15 days after videolaparoscopic surgery, after imaging exams, an incarceration of the intestinal antimesenteric border was identified through the incision of one of the laparoscopic portals. After resection of the small segment with an endostapler and enteroenteral, lateral-lateral anastomosis with an endostapler, the patient evolved well in the postoperative period. Richter's hernia is defined as a rare type of hernia in the abdominal wall in which only part of the intestinal loop, the antimesenteric edge, is trapped in the hernial orifice and can be strangled. These hernias can occur in anterior incisions and present with clinical symptoms of abdominal pain, nausea, vomiting and rarely present obstructive symptoms, thus tending to progress more rapidly to gangrene. Treatment is usually surgical. Final considerations: Although it is a rare medical condition, there must be a high index of suspicion, especially in the laparoscopic postoperative period and in patients with a vague abdominal clinical picture.