EP.FRI.183 Laparoscopic management of strangulated paracaecal hernia causing small bowel obstruction. Case report and review of the literature

Abstract

Background and Aim Paracaecal hernia is a rare type of internal hernia usually presenting with a picture of small bowel obstruction. In this report we present a case of strangulated paracaecal hernia managed laparoscopically with aim to spot the light on this rare type of internal hernia. Case Report A 68- year- old lady was admitted with colicky lower abdominal pain, vomiting and abdominal distention. CT scan of her abdomen and pelvis demonstrated multiple dilated small bowel loops with a transition point in the right iliac fossa. The patient was taken to theatre where she underwent laparoscopic reduction of a strangulated paracaecal hernia. The patient had uneventful post-operative recovery and was discharged home on day four post-operatively. Conclusion Despite being a rare cause for small intestinal obstruction, it 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. Laparoscopic approach is feasible if expertise is available.