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Case Reports
. 2011 Feb;27(1):41-3.
doi: 10.3393/jksc.2011.27.1.41. Epub 2011 Feb 28.

A case of small bowel obstruction due to a paracecal hernia

Eun-Jung Jang  1 , Seung Hyun Cho, Dae-Dong Kim
Affiliations
Case Reports

A case of small bowel obstruction due to a paracecal hernia

Eun-Jung Jang et al. J Korean Soc Coloproctol. 2011 Feb.

Abstract

Internal hernias are rare causes of small bowel obstruction, and one such internal hernia is the paracecal hernia. We report a case of a small bowel obstruction related to a paracecal hernia in which a preoperative diagnosis was made on computed tomography. A laparotomy was performed for definitive diagnosis and treatment. The surgery achieved a good outcome.

Keywords: Internal hernia; Paracecal hernia; Small bowel obstruction.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Paracecal hernia through the right cecal fossa in an 84-year-old woman. Contrast-enhanced computed tomography scan shows dilated small bowel loops and herniation of the short-segment small bowel and mesentery through the right cecal fossa (arrow).
Fig. 2
Fig. 2
(A) Cluster of a collapsed, herniated small bowel (asterisk), and (B) cluster of small bowel mesentery (arrow) are noted in the inferolateral aspect of the cecum (arrowhead).
Fig. 3
Fig. 3
Intraoperative finding of the entrapped jejunum after paracecal herniation had been reduced and the bowel had been confirmed to be viable.
Fig. 4
Fig. 4
Demonstration of the cecal fossa, which is formed by two peritoneal folds.
See this image and copyright information in PMC

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