Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Feb 7;2020(2):rjaa003.
doi: 10.1093/jscr/rjaa003. eCollection 2020 Feb.

Intestinal obstruction caused by pericecal internal herniation

Floris B Poelmann  1 , Ewoud H Jutte  1 , Jean Pierre E N Pierie  1
Affiliations
Case Reports

Intestinal obstruction caused by pericecal internal herniation

Floris B Poelmann et al. J Surg Case Rep. .

Abstract

Intestinal obstruction caused by pericecal internal herniation are rare and only described in a few cases. This case describes an 80-year-old man presented with acute abdominal pain, nausea and vomiting, with no prior surgical history. Computed tomography was performed and showed a closed loop short bowel obstruction in the right lower quadrant and ascites. Laparoscopy revealed pericecal internal hernia. This is a viscous protrusion through a defect in the peritoneal cavity. Current operative treatment modalities include minimally invasive surgery. Laparoscopic repair of internal herniation is possible and feasible in experienced hands. It must be included in the differential diagnoses of every patient who presents with abdominal pain. When diagnosed act quick and thorough and expeditiously. Treatment preference should be a laparoscopic procedure.

Keywords: intestinal obstruction; pericecal internal herniation.

PubMed Disclaimer

Figures

Figure 1
Figure 1
CT: demonstrates closed loop short bowel obstruction with dilated small-bowel loops and ascites
Figure 2
Figure 2
ischemic intestine visible through the incised connections of coecum to the abdominal wall during laparoscopy
Figure 3
Figure 3
perioperative pictures of the pericecal internal hernia and the necrotic small bowel
See this image and copyright information in PMC

References

    1. Martin LC, Merkle EM, Thompson WM. Review of internal hernias: radiographic and clinical findings. Am J Roentgenol 2006;186:703–17. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16498098[cited 20 February 2019]. - PubMed
    1. Lee JE, Choi S-Y, Lee MH, Yi BH, Lee HK, Ko BM. Pericecal herniation of sigmoid colon diagnosed by computed tomography: two case reports. Medicine (Baltimore) 2018;97:e11336. - PMC - PubMed
    1. Newsom BD, Kukora JS. Congenital and acquired internal hernias: unusual causes of small bowel obstruction. Am J Surg 1986;152:279–85. Available from: http://www.ncbi.nlm.nih.gov/pubmed/3752377[cited 19 February 2019]. - PubMed
    1. Ghahremani G. Abdominal and pelvic hernias In: Gore RMLM. (ed). Textbook of Gastrointestinal Radiology, 2nd edn. Philadelphia: PA: Saunders, 2000, 1993–2009
    1. Kabashima A, Ueda N, Yonemura Y, Mashino K, Fujii K, Ikeda T, et al. . Laparoscopic surgery for the diagnosis and treatment of a paracecal hernia repair: report of a case. Surg Today 2010;40:373–5. - PubMed

Publication types