2017 Volume 50 Issue 1 Pages 79-85
Internal hernias are rare causes of small bowel obstruction, and one such internal hernia is the paracecal hernia. We report a case of a small bowel obstruction related to a paracecal hernia. A 73-year-old woman was brought to our emergency department because of sudden onset lower abdominal pain, nausea and vomiting. The abdomen was distended diffusely and tender in the right lower quadrant. Laboratory data was normal. Abdominal CT showed a closed small bowel loop caudal and lateral to the cecum. Strangulation of the small bowel due to paracecal hernia was diagnosed clinically, and emergency laparoscopic surgery was performed. On exploring the abdominal cavity, a loop of distal ileum was found incarcerated in the paracolic sulci near the cecum and strangulated. After release of the 20-cm segment of viable ileum, the hernia sac was dissected and opened completely. The patient’s postoperative course was uneventful and she was discharged on postoperative day 10 without any complications.
