A case of pericecal hernia reduced under laparoscopy

Abstract

A 79-year-old man who had no history of undergoing operation and complained of vomiting and abdominal distention was referred to the hospital after a long tube was placed with a diagnosis of ileus at another hospital. After admission to the hospital, fluoroscopic study through the tube showed interruption of contrast material after the tip of the tube which was located in the right lower abdomen. Abdominal CT scan also suggested that some possible cause of this obstruction might be present in the right lower abdomen. Although the definite diagnosis was not made, laparoscopic surgery was performed to explore the cause and to treat with a suspicion of ileus caused by internal hernia on the 5^th hospital day. Laparoscopic observation of the abdominal cavity identified retrocecal hernia. The impacted small intestine was reduced and the hernia opening was released.
In the treatment of internal hernias including pericecal hernia in which preoperative diagnoses are difficult, laparoscopic surgery which can offer diagnosis and treatment at the same time is considered to be helpful.