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Appendicitis

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Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...

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Related Experiment Video

Updated: Jun 6, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

Published on: January 9, 2026

Left paramesocolic hernia presenting as post appendicectomy abdominal cocoon.

Ramnik Patel¹, H Os Gabra, Shawqui Nour

¹Department of Pediatrics Surgery University Hospital of Leicester, PGIMER, Chandigarh, India.

Indian Pediatrics

|December 15, 2010

Summary

A rare left mesocolic hernia caused intestinal obstruction after appendectomy in a young girl. Surgical repair successfully resolved the condition, highlighting the importance of considering rare hernias in post-operative complications.

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Area of Science:

Gastroenterology
Surgical Case Reports
Abdominal Wall Anatomy

Background:

Internal hernias, though uncommon, can present with diverse clinical manifestations.
Left mesocolic hernias are a rare subtype, often challenging to diagnose preoperatively.
Post-operative intestinal obstruction necessitates a thorough differential diagnosis, including rare anatomical anomalies.

Observation:

A pediatric patient presented with symptoms of intestinal obstruction following an appendectomy.
Surgical exploration revealed a left mesocolic hernia with partial peritoneal encapsulation of the small bowel.
Jejunal loops were found herniated into the left mesocolic hernia sac.

Findings:

The primary finding was a left mesocolic hernia causing small bowel obstruction.
Laparotomy confirmed herniation of jejunal loops into the hernia sac.
Partial peritoneal encapsulation contributed to the obstructive pathology.

Implications:

This case underscores the importance of recognizing rare internal hernias as a cause of post-operative intestinal obstruction.
Prompt surgical intervention, including hernia reduction and repair, is crucial for favorable outcomes.
Awareness of left mesocolic hernias can aid in timely diagnosis and management of similar rare presentations.