Pericecal Hernia: A Report of Two Cases and Survey of the Literature

Lu, Hsin-Fen; Wang, J; Tsang, Yuk‐Ming; Tseng, Hung-Shi; Li, Y.-W

doi:10.1053/crad.2002.1002

Cited by 16 publications

(6 citation statements)

References 13 publications

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“…All of these recesses may become hernial orifices. Another possibility is acquired mechanisms, such as postsurgical or traumatic defects of the mesentery or omentum, postoperative adhesions, and increased pressure in the abdominal cavity related to obesity, coughing, or straining [9, 32]. In the present case, we observed that the small intestine was constrained in the right paracolic gutter covered with the omentum that adhered to the right abdominal wall.…”

Section: Discussionmentioning

confidence: 53%

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: 53%

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

et al. 2019

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“…As one of the CT findings about pericecal hernia, it was reported that the dilation of small intestine loops with transitional zone to the cecum or edematous small bowel located lateral to the cecum. 7 The aforementioned findings involving our case can be helpful for the accurate preoperative diagnosis for IH.…”

Section: Discussionmentioning

confidence: 60%

Small Intestinal Strangulation Due to a Rare Type of Primary Internal Hernia

Takeda

Ohnuki

Uchiyama

et al. 2013

International Surgery

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Internal hernias in which the gate is located in the paracolic gutter are rare. A 75-year-old man was admitted to our hospital with severe epigastric pain without past history of laparotomy and/or trauma. He was diagnosed with strangulation of the ileum by the findings of computed tomography, and the operation was performed. During laparotomy, the small intestine was found to be strangulated and to enter the retroperitoneum from the right paracolic gutter near the hepatic flexure. The patient was diagnosed with an internal hernia, which differed from a pericecal hernia in that the hernia gate was located along the paracolic gutter near the hepatic flexure far from the cecum. Hence, it was considered to be a rare type of internal hernia. We report the clinical presentation and imaging findings of this rare internal hernia.Key words: Internal hernia -Paracolic gutter A n internal hernia is a rare condition defined as the protrusion of abdominal viscera into one of the fossae, foramina, recesses, or congenital defects within the abdominal and pelvic cavity. Internal hernias are generally classified into 6 types: paraduodenal, pericecal, foramen of Winslow, transmesenteric, pelvic and supravesical, and intersigmoid. 1-3A pericecal hernia is a typical form of internal hernia and can be divided into 4 types: superior ileocecal recess, inferior ileocecal recess, retrocecal recess, and paracolic sulcus.2 Although our case displayed similar features to the paracolic sulcus type of pericecal hernia, it differed from a pericecal hernia in that the hernia gate was located along the right

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“…We found only 21 cases of pericecal hernia in the literature, including our case (Table 1). [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] The mean patient age was 69 6 17 years, and our case involved the oldest reported patient. The male:female ratio was 3:4.…”

Section: Discussionmentioning

confidence: 99%

“…Recent reports suggest that MDCT is an indispensable imaging modality for preoperative diagnosis of internal abdominal hernias. 1,10,14,19,22 In particular, the appearance of pericecal hernia on MDCT is very characteristic. In internal or lateral pericecal hernia, the ascending colon is displaced laterally or medially.…”

Section: Discussionmentioning

confidence: 99%

Successful Retrocecal Hernia Diagnosis and Treatment: A Case Report

Shida

Tanaka

et al. 2021

International Surgery

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Introduction A retrocecal hernia is a rare type of internal hernia that occasionally causes small bowel obstruction and strangulation ileus. We report a case of retrocecal hernia that was preoperatively diagnosed using multidetector raw computed tomography and successfully treated by emergency surgery. Case Presentation A 97-year-old woman presented at another hospital with abdominal distension and nausea. She was diagnosed with ileus and was conservatively treated with long intestinal tube placement. However, the symptoms had not improved after 7 days in the hospital. The patient was then referred to our hospital, where a pericecal hernia was diagnosed using multidetector raw computed tomography. We performed emergency surgery and intraoperatively confirmed the presence of a retrocecal hernia. A 30-cm nonviable section of small intestine was resected, and the hernia orifice was closed routinely. Postoperative recovery was uneventful. Conclusions Patients with pericecal hernia usually require surgical treatment. Multidetector raw computed tomography is useful for precise diagnosis of this type of hernia. Precise diagnosis is necessary to select prompt operative intervention for internal hernia.

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Pericecal Hernia: A Report of Two Cases and Survey of the Literature

Cited by 16 publications

References 13 publications

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

Small Intestinal Strangulation Due to a Rare Type of Primary Internal Hernia

Successful Retrocecal Hernia Diagnosis and Treatment: A Case Report

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