We report a rare and interesting case of a pericecal hernia. A 34-year-old male presented
to the emergency department with severe periumbilical pain, emesis and a prior syncopal
episode. He noted a 3-month history of intermittent, colicky periumbilical pain. His
abdominal examination demonstrated a palpable mass in the right lower quadrant,
involuntary guarding and rebound tenderness. CT demonstrated dilated small-bowel loops and
findings suggestive of ischemia. The patient was immediately taken to the operating room
where a diagnosis of pericecal hernia was made. The patient underwent a reduction of the
hernia and a repair of the mesenteric defect.
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