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

Dhillon, Amar P.; Farid, Shahid; Dixon, Simon; Evans, John R.

doi:10.1016/j.ijscr.2013.10.007

Cited by 4 publications

(4 citation statements)

References 10 publications

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“…We found only 21 cases of pericecal hernia in the literature, including our case (Table 1). [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] The mean patient age was 69 6 17 years, and our case involved the oldest reported patient. The male:female ratio was 3:4.…”

Section: Discussionmentioning

confidence: 99%

Successful Retrocecal Hernia Diagnosis and Treatment: A Case Report

Shida

Tanaka

et al. 2021

International Surgery

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Introduction A retrocecal hernia is a rare type of internal hernia that occasionally causes small bowel obstruction and strangulation ileus. We report a case of retrocecal hernia that was preoperatively diagnosed using multidetector raw computed tomography and successfully treated by emergency surgery. Case Presentation A 97-year-old woman presented at another hospital with abdominal distension and nausea. She was diagnosed with ileus and was conservatively treated with long intestinal tube placement. However, the symptoms had not improved after 7 days in the hospital. The patient was then referred to our hospital, where a pericecal hernia was diagnosed using multidetector raw computed tomography. We performed emergency surgery and intraoperatively confirmed the presence of a retrocecal hernia. A 30-cm nonviable section of small intestine was resected, and the hernia orifice was closed routinely. Postoperative recovery was uneventful. Conclusions Patients with pericecal hernia usually require surgical treatment. Multidetector raw computed tomography is useful for precise diagnosis of this type of hernia. Precise diagnosis is necessary to select prompt operative intervention for internal hernia.

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Section: Discussionmentioning

confidence: 99%

Successful Retrocecal Hernia Diagnosis and Treatment: A Case Report

Shida

Tanaka

et al. 2021

International Surgery

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“…Using the words “Internal Hernia AND Appendicitis” between November of 1946 to November of 2013 we found in PubMed few reports about appendicitis as initial diagnosis and later changed with internal hernia diagnosis. There were just four articles that mentioned cases of internal hernia that were thought initially as appendicitis [9–12] . From these four case reports that were diagnosed as appendicitis, the final diagnosis was change to: internal hernia to the broad ligament; paracecal hernia; small intestine and ascendant colon through the sigmoid mesentery internal hernias; and finally lateral abdominal incarcerated hernia .…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, laboratory tests do not have a very high specificity or sensibility for being used as diagnostic for either pathology and diagnostic imaging like abdominal radiography in many cases is nonspecific, leading to use more sensitive and specific diagnostic images as computerized tomography scan [9] . Thus an accurate diagnosis of abdominal internal hernia is not always obvious just with the medical history and physical examination and needs complementary studies [11] .…”

Section: Discussionmentioning

confidence: 99%

Strangulated internal hernia by giant Meckel diverticulum presented as acute appendicitis

Fuentes-Diaz¹,

Trujillo-Vasquez²,

Parra-Vargas³

et al. 2015

International Journal of Surgery Case Reports

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HighlightsMeckel’s diverticulum is commonly asymptomatic, nevertheless when symptomatic is due to the presence of a complication.According to descriptions found in medical literature, usually in 90% of the patients with Meckel’s diverticulum length is between 2.9 and 5 cm long by 1.9 and 2 cm of diameter.Among 5% of the patients had a giant Meckel’s diverticulum being this condition very unusual.Internal hernias may be found when anomalous anatomic structures as Meckel’s diverticulum are present and they can mimic acute appendicitis.

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“…Rarely, these recessus can be the origin and the localization of internal abdominal hernias. Internal hernias are rare with a postmortem incidence below 1 % [27] and are in an estimate of 0.2 and 4.1 % the cause of all intestinal obstructions [28].…”

Section: Peritoneal Recessus and Fossaementioning

confidence: 99%

Morphology of the peritoneal cavity and pathophysiological consequences

Solaß

Struller

Horvath

et al. 2016

Pleura and Peritoneum

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The peritoneal cavity (cavum peritonei) is incompletely divided into spaces and recessus (or fossae), which are playing an important role in health and disease. Peritoneal subspaces are determined by the parietal attachments of the abdominal organs, the ligaments and mesenteries. These include the splenorenal, the falciform, the triangular, the gastrosplenic, the phrenicocolic and the gastrocolic ligaments; the greater omentum and the lesser omentum (formed by the gastrohepatic and hepatoduodenal ligaments); the small bowel mesenterium and the mesocolon. These ligaments and mesenteries divide the peritoneal cavity into several distinct anatomic and functional regions. The supramesocolic compartment is divided into a bilateral subphrenic space and a subhepatic space continuing into the lesser sac (bursa omentalis). The inframesolic compartment is divided into a left and right region by the mesentery. The right paracolic gutter communicates with the pelvis and with the right suphrenic space. The left paracolic gutter is separated from the left subphrenic space by the phrenocolic ligament. The peritoneal space is virtual, is completely occupied by the intraabdominal organs and can only be visualized by radiological means in the presence of air (organ perforation), liquid (ascites, pus, bile, gastrointestinal fluids) or tumor invasion. Peritoneal morphology has numerous pathophysiological implications: it impacts on the propagation of intraabdominal infections, determines the spreading of peritoneal metastasis and can cause bowel volvulus. Internal hernias can arise at the junction between intraperitoneal and extraperitoneal bowel segments, in particular into the left paraduodenal recessus. Knowledge of peritoneal morphology is a precondition for developing locoregional therapeutic strategies in peritoneal disease and for effective peritoneal dialysis.

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

Cited by 4 publications

References 10 publications

Successful Retrocecal Hernia Diagnosis and Treatment: A Case Report

Successful Retrocecal Hernia Diagnosis and Treatment: A Case Report

Strangulated internal hernia by giant Meckel diverticulum presented as acute appendicitis

Morphology of the peritoneal cavity and pathophysiological consequences

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