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

Affiliations
  • 1Department of Surgery, Yeungnam University College of Medicine, Daegu, Korea. sungiry@naver.com

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

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