Richter hernia of the stomach.

A case report is presented of Richter hernia of the stomach, after en bloc excision of multiple organs for sarcoma of the left upper quadrant of the abdomen. To our knowledge this is the first case reported in the literature. The conditions for the development of this hernia are : (1) the freeing of the greater curvature of the stomach (following removal of the spleen and tail of the pancreas); and (2) fascial dehiscence following a left thoracoabdominal incision involving rib resection.