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

Lu, Huai‐En

doi:10.1016/s0009-9260(02)91002-0

Cited by 19 publications

(8 citation statements)

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“…While there have been a number of cases reported of pericaecal hernias 6–9 only one has reported the appendix within a paracaecal hernia 10 and from a review of the literature this is the first to document the concomitant entrapment of distal ileum, right ovary and fallopian tube. Clinical presentation of this rare entity can range from being non-specific to mimicking acute appendicitis as in our case, or even acute intestinal obstruction requiring resection.…”

Section: Discussionmentioning

confidence: 96%

“…Furthermore a beaking appearance in the peritoneal recess, acute changes in calibre of small bowel and displacement of the mesenteric vascular pedicle in the hernia sac have all been described. 2,7 In patients with milder clinical presentations a barium enema has been utilised to demonstrate ileal loops behind and lateral to the caecum and ascending colon. 5 Although the diagnosis was not made preoperatively in our case, a retrospective analysis of images does show suggestive features ( Figs.…”

Section: Discussionmentioning

confidence: 99%

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Right salpingo-ovarian and distal ileal entrapment within a paracaecal hernia presenting as acute appendicits

Dhillon

Farid

Dixon

et al. 2013

International Journal of Surgery Case Reports

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INTRODUCTIONPericaecal hernias are a rare subgroup of internal abdominal hernias that present with abdominal pain and occasionally with features of bowel obstruction.PRESENTATION OF CASEA 72 year old female presented with a 24-h history of sharp, localised right iliac fossa pain, and no other symptoms. Clinical examination confirmed localised peritonism in the right iliac fossa. A tentative diagnosis of acute appendicitis was considered but in view of age a CT scan was performed. An area of abnormality in the right iliac fossa region was noted. At laparoscopy a macroscopically normal appendix and caecum was found. A smooth non-indentable mass in the lateral right iliac fossa contained loops of distal ileum, passing through a retro-caecal mesenteric defect consistent with a paraceacal hernia, with entrapment of the right ovary and fallopian tube. A right salpingectomy as performed and subsequent histopathological examination confirmed infarction of the fallopian tube.DISCUSSIONInternal abdominal hernias are reported to have a post mortem incidence ranging between 0.2 and 0.9% of which only 10–15% are accounted for by pericaecal hernias. Types of pericaecal hernias include: ileocolic, retrocaecal, ileocaecal and paracaecal. These hernias are predisposed by the embryological development of the caecum retracting to the posterior abdominal wall and forming potential fossae.CONCLUSIONThis case highlights the need to consider a pericaecal hernia as a differential cause of right iliac fossa peritonism, and an indication for radiological imaging such as CT scan when the history is atypical for acute appendicitis.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Right salpingo-ovarian and distal ileal entrapment within a paracaecal hernia presenting as acute appendicits

Dhillon

Farid

Dixon

et al. 2013

International Journal of Surgery Case Reports

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“…Four patients had a prior history of abdominal surgery. Only five patients required bowel resection because of intestinal ischemia [ [6] , [7] , [8] , [9] ]. Four of those five patients had no history of abdominal surgery [ [7] , [8] , [9] ].…”

Section: Discussionmentioning

confidence: 99%

Paracecal hernia with intestinal ischemia treated with laparoscopic assisted surgery

Inukai

Tsuji

Uehara

2018

International Journal of Surgery Case Reports

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“…Strangulation must be suspected when there are findings of absent or reduced enhancement of the herniated bowel mucosa on abdominal CT. [ 12 ] In the case of strangulation, mortality rates due to pericecal hernia have been reported to be as high as 75%. [ 13 ] Thus, close observation is essential, and, in the case of strangulation, prompt surgical intervention is necessary.…”

Section: Discussionmentioning

confidence: 99%

Pericecal herniation of sigmoid colon diagnosed by computed tomography

Lee¹,

Choi²,

Lee³

et al. 2018

Medicine

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Introduction:Computed tomography (CT) plays an important role in diagnosing specific types of internal hernias and their complications. In particular, pericecal hernia of the sigmoid colon has never been reported in the English literature.Case presentation:The first patient was a 46-year-old female presented to our institution due to acute abdominal pain. The second patient was a 55-year-old male presented to our institution with continuous diarrhea. The patient underwent colonoscopy for further evaluation. However, even with sufficient air insufflation and repetitive maneuvers, the colonoscope could not proceed beyond the narrowed level of the sigmoid colon. In both cases, contrast-enhanced abdominal CT was done and a herniated loop of sigmoid colon was noted in the posterolateral aspect of the cecum and ascending colon. Thus, a diagnosis of pericecal herniation of the sigmoid colon was established.Conclusion:This case study indicates that radiologic examination can be helpful in detecting pericecal herniation of the sigmoid colon.

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

Cited by 19 publications

References 0 publications

Right salpingo-ovarian and distal ileal entrapment within a paracaecal hernia presenting as acute appendicits

Right salpingo-ovarian and distal ileal entrapment within a paracaecal hernia presenting as acute appendicits

Paracecal hernia with intestinal ischemia treated with laparoscopic assisted surgery

Pericecal herniation of sigmoid colon diagnosed by computed tomography

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