A case report of lateral paracecal hernia

Suyama, Masako; Yasuno, Masamichi; Takahashi, Hidenori; Wakayama, Tatsuro

doi:10.3919/jjsa.74.833

Cited by 4 publications

(2 citation statements)

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“…The CT findings of paracecal hernia include an encapsulated cluster of dilated small bowel loops interposed between the cecum and the abdominal wall, and mesenteric vessels converging toward the entrance of the hernia [1]. CT also gives the information to diagnose the types of paracecal hernia: a lateral shift of the ascending colon in internal type and an anterior shift in retrocecal recess type [34]. In our case, the internally displaced ascending colon was consistent with the lateral type.…”

Section: Discussionmentioning

confidence: 68%

Paracecal hernia due to membranous adhesion of the omentum to the right paracolic gutter

et al. 2019

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BackgroundParacecal hernias, also known as pericecal hernias, are an exceptionally rare type of internal hernia. We report a unique case of paracecal hernia due to membranous adhesion of the omentum to the right paracolic gutter.Case presentationAn 86-year-old female was admitted to our hospital with vomiting and abdominal pain. Laboratory findings showed a slightly elevated C-reactive protein level. Computed tomography scan showed dilated loops of the small intestine in the right paracolic gutter with medial displacement of the cecum and ascending colon. Internal hernia around the cecum due to postoperative adhesion after appendectomy was suspected, and she underwent emergency laparotomy. Intraoperative findings revealed the adhesion between the omentum and right paracolic gutter forming a cavity with the small intestine incarcerated. No abnormal adhesion in the ileocecal region was seen. We transected the omental adhesion from the orifice to the far end of the cavity near the hepatic flexure of the colon to release strangulation and to prevent recurrence. The patient was discharged on postoperative day 14 without complications.ConclusionsParacecal hernias have a type of membranous adhesion of the omentum to the right paracolic gutter. Surgeons should be aware of this paracecal hernia type, when they encounter the internal hernia.

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Section: Discussionmentioning

confidence: 68%

Paracecal hernia due to membranous adhesion of the omentum to the right paracolic gutter

et al. 2019

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“…CT is the diagnostic modality of choice, however most of the time the definite diagnosis is only made intraoperatively [ 9 , 10 ]. Direction of caecal shift may give an indication of the type of the paracaecal hernia, for example it will be shifted anteriorly in a retrocaecal type or laterally in an internal type (inferior and superior ileocaecal type) [ 2 , 11 ]. In our case, the caecum was mobilized and displaced medially as the hernia was of the lateral variant.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic management of strangulated paracaecal hernia causing small bowel obstruction. Case report and review of the literature

Al-Ardah

Sisodia

Rottenburg

et al. 2021

Journal of Surgical Case Reports

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Paracaecal hernia is a rare type of internal hernia usually presenting with a picture of small bowel obstruction. In this report we present a 68-year-old woman who was admitted with colicky lower abdominal pain, vomiting and abdominal distention. A computed tomography scan of her abdomen and pelvis demonstrated multiple dilated small bowel loops with a transition point in the right iliac fossa. After a trial of conservative treatment, the patient was taken to theatre where she underwent laparoscopic reduction of a strangulated paracaecal hernia. The patient had an uneventful post-operative recovery and was discharged home. Despite being a rare cause for small intestinal obstruction, this should be part of the differential diagnosis especially in the absence of previous abdominal operations. Early recognition and prompt surgical treatment is the key to prevent complications. A laparoscopic approach is feasible if expertise is available.

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いつか遭遇するかもしれない・覚えておきたい希少なヘルニア（前編）

SHIDA

2023

Nihon Rinsho Geka Gakkai Zasshi (J Jpn Surg Assoc)

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A case report of lateral paracecal hernia

Cited by 4 publications

References 1 publication

Paracecal hernia due to membranous adhesion of the omentum to the right paracolic gutter

Paracecal hernia due to membranous adhesion of the omentum to the right paracolic gutter

Laparoscopic management of strangulated paracaecal hernia causing small bowel obstruction. Case report and review of the literature

いつか遭遇するかもしれない・覚えておきたい希少なヘルニア（前編）

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