Generalised tetanus: A rare complication of Richter’s hernia

Abstract

We present a case report of generalized tetanus following umbilical Richter's hernia in a 10 month old unimmunized boy. This case is reported because tetanus is a rare complication of Richter's hernia and to emphasize the need for immunization of all unimmunized children with tetanus vaccine. A high index of suspicion is important in the diagnosis of Richter's hernia in order to avoid complication, as diagnosis is often delayed or missed. The co-exiting tetany is also a rare co-morbidity of Richter's hernia.