A Case of Hernia of the Retro-Ceacal Fossa

Abstract

An 84-year-old woman was admitted to the hospital with a diagnosis of ileus. Computed tomography of the abdomen and pelvis revealed a Richter-type hernia of the small bowel into the right obturator foramen. Laparotomy was subsequently performed. Intraoperatively the terminal ileum was found to be incarcerated in the retrocecal fossa. The incarcerated ileum was approximately 10cm in length and was located 50cm proximal to the ileocecal valve. We reduced the incarcerated ileum and incised the hernia sac. Paracecal hernia is very rare variant of hernia and is difficult to diagnose preoperatively. This is a case report with a review of the literature.

Retrocecal hernia successfully treated with laparoscopic surgery: A case report and literature review of 15 cases in Japan

“…We searched PubMed and Ichushi Webs for reports containing the key words “retrocecal and/or postcecal hernia.” Only 16 cases from Japan have been reported in the literature including our case [2] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] ( Table 1 ). The median patient age was 76 years (range 48–100 years) and the male/female ratio was 7:9.…”