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. 2016:18:45-7.
doi: 10.1016/j.ijscr.2015.11.022. Epub 2015 Nov 27.

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

Kazuhito Sasaki  1 , Hiroshi Kawasaki  2 , Hideki Abe  3 , Hideo Nagai  4 , Fuyo Yoshimi  5
Affiliations

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

Kazuhito Sasaki et al. Int J Surg Case Rep. 2016.

Abstract

Introduction: Retrocecal hernia is rare and involves strangulation ileus, and therefore, frequently requires emergency surgery following conservative therapy.

Presentation of case: We report an interesting case of a retrocecal hernia in a 65-year-old man, with a history of diabetes mellitus. The patient was admitted to our hospital with severe periumbilical pain and nausea. Abdominal computed tomography revealed an intestinal obstruction at a pericecal site, and dilatation of the small bowel at the oral side of the obstruction. The patient was initially treated with conservative therapy using long intestinal tube placement. On the 12th hospital day, the patient's symptoms had not resolved, and laparoscopic surgery was performed. We diagnosed a retrocecal hernia based on laparoscopic findings and repaired it. The patient was discharged without complications on the 7th postoperative day.

Discussion and conclusion: Using laparoscopic exploration and suturing, we were able to perform a minimally invasive operation that may have promoted an earlier hospital discharge.

Keywords: Laparoscopic surgery; Pericecal hernia; Retrocecal hernia.

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Figures

Fig. 1
Fig. 1
Computed tomography image shows dilation of the small intestine. The arrow denotes the location at which a small intestinal caliber change is seen around the cecum.
Fig. 2
Fig. 2
Intraoperative findings reveal incarceration of the ileum in the retrocecal fossa (arrow, A). The orifice of the retrocecal hernia is sutured with an absorbable surgical suture and closed (arrow, B).
See this image and copyright information in PMC

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