Laparoscopic Management of Para-Caecal Hernia With Small Bowel Obstruction: A Case Report

Abstract

Para-caecal hernias are a rare type of internal hernias. They can cause bowel obstruction, leading to strangulation of the bowel. As such, urgent diagnosis and appropriate management are important. Both laparoscopic and open approaches are options in terms of surgical treatment. We report a case of a para-caecal hernia causing small bowel obstruction and highlight the laparoscopic approach as a feasible and effective way of management.

Keywords: internal hernia; laparoscopic approach; paracaecal hernia; pericaecal hernia; small bowel obstruction.

Figure 1. CT showing proximal bowel dilation with distal small bowel collapse with the transition point in the right iliac fossa

Figure 2. Axial view showing the transition point of the small bowel in the right iliac fossa

Figure 3. Para-caecal sac in the right iliac fossa containing a loop of small bowel

Figure 4. Release of the herniated bowel from the sac