Small bowel obstruction caused by pericaecal hernia resolved with a laparoscopic approach

Small bowel obstruction from internal hernias is a familiar pathology for the surgeon, with an incidence of 0.5-5.8%. However, pericaecal hernia is a very uncommon type of internal hernia. Diagnosis and early treatment are essential to avoid strangulation and necrosis of the incarcerated small bowel...

Full description

Saved in:
Bibliographic Details
Published in:Annals of the Royal College of Surgeons of England 2020-09, Vol.102 (7), p.e155-e157
Main Authors: Plua-Muñiz, K, Sanchez-Gonzalez, J, Bailon-Cuadrado, M, Pacheco-Sanchez, D
Format: Article
Language:English
Subjects:
Abdomen
Aged, 80 and over
Classification
Diagnosis, Differential
Female
Hernia, Abdominal - complications
Hernia, Abdominal - diagnosis
Hernia, Abdominal - surgery
Hernias
Herniorrhaphy - methods
Humans
Intestinal obstruction
Intestinal Obstruction - diagnosis
Intestinal Obstruction - etiology
Intestinal Obstruction - surgery
Intestine, Small - diagnostic imaging
Intestine, Small - surgery
Laparoscopy
Laparoscopy - methods
Laparotomy
Literature reviews
Online Case Report
Surgery
Tomography, X-Ray Computed
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Small bowel obstruction from internal hernias is a familiar pathology for the surgeon, with an incidence of 0.5-5.8%. However, pericaecal hernia is a very uncommon type of internal hernia. Diagnosis and early treatment are essential to avoid strangulation and necrosis of the incarcerated small bowel. We report a case of an 84-year-old woman with no previous history of abdominal surgery who came to our hospital having endured 6 hours of abdominal pain and vomiting. Following physical examination and computed tomography, a diagnosis of small bowel obstruction caused by pericaecal hernia was made and emergency surgery was performed. The hernia was successfully reduced with a laparoscopic approach. Although pericaecal hernia is a rare disease, surgeons should bear it in mind as a differential diagnosis in small bowel obstruction.
ISSN:0035-8843
1478-7083
DOI:10.1308/RCSANN.2020.0072