Yeungnam Univ J Med.  2018 Dec;35(2):236-239. 10.12701/yujm.2018.35.2.236.

Incarcerated pericecal hernia: a rare form of the internal hernia

• Kang SI

• KMID: 2433746
• DOI: http://doi.org/10.12701/yujm.2018.35.2.236

Abstract

A pericecal hernia is a rare form of an internal hernia, which has been described in several case reports. We present a case of a 32-year-old woman who complained of vague abdominal pain a day prior to admission. Abdominal computed tomography revealed the presence of a pericecal hernia without bowel ischemia. The patient underwent manual hernia reduction and was discharged without complications. We describe this case in detail and provide a review of the pertinent literature.

Keyword

Cecum; Hernia; Intestinal obstruction

MeSH Terms

Abdominal Pain
Adult
Cecum
Female
Hernia*
Humans
Intestinal Obstruction
Ischemia

Figure

• 

  Fig. 1. Abdominopelvic computed tomography images. (A) The herniated ileum can be observed lateral to the ascending colon. (B) The cecum can be observed in the mid-pelvis. A, ascending colon; I, ileum; P, psoas muscle; C, cecum.

• 

  Fig. 2. Intraoperative laparoscopic images. (A) An atypical location of the cecum can be observed. (B) The incarcerated ileum is observed through the inferior ileocecal fossa.

• 

  Fig. 3. Intraoperative images after conversion to open surgery. (A) The incarcerated ileum is observed through an inferior ileocecal fossa. (B) A membranous band, which formed an inferior ileocecal fossa can be identified, which was observed after manual reduction of the herniated ileum.

Reference

1. Fu CY, Chang WC, Lu HE, Su CJ, Tan KH. Pericecal hernia of the inferior ileocecal recess: CT findings. Abdom Imaging. 2007; 32:81–3.

2. Lu HC, Wang J, Tsang YM, Tseng HS, Li YW. Pericecal hernia: a report of two cases and survey of the literature. Clin Radiol. 2002; 57:855–8.

3. Jang EJ, Cho SH, Kim DD. A case of small bowel obstruction due to a paracecal hernia. J Korean Soc Coloproctol. 2011; 27:41–3.

4. Yeung KW, Hsiao CP. Evaluation of acquired pericecal hernia using computed tomography: a case report. J Radiol Sci. 2013; 38:101–3.

5. Liu KL, Lin BR. Images in clinical medicine. Small-bowel obstruction due to an internal hernia. N Engl J Med. 2007; 356:1152.

6. Rivkind AI, Shiloni E, Muggia-Sullam M, Weiss Y, Lax E, Freund HR. Paracecal hernia: a cause of intestinal obstruction. Dis Colon Rectum. 1986; 29:752–4.

7. Nishi T, Tanaka Y, Kure T. A case of pericecal hernia with a hernial orifice located on the lateral side of the cecum. Tokai J Exp Clin Med. 2011; 36:71–4.