A Case of Retrocecal Hernia DIagnosed by Enhanced Computed Tomography

Abstract

A 96-year-old woman was brought to our emergency department with a history of right lower abdominal pain of sudden onset. Because the symptoms did not improve, abdominal contrast-enhanced computed tomography was performed; based on the findings, the patient was diagnosed as having strangulation of the small bowel due to a paracecal hernia, and emergency surgery was performed. A 10-cm segment of the ileum was found to be strangulated in the retrocecal fossa. The hernia orifice was opened, and the necrotic segment of the ileum was resected. The postoperative course of the patient was uneventful and the patient was discharged on postoperative day 20. Paracecal hernia is relatively rare, and preoperative diagnosis is often difficult. We report this case with a review of the literature.