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Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
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Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

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Retrocecal hernia preoperatively diagnosed by computed tomography: A case report.

Shingo Ito1, Ryohei Takeda2, Ritsuo Kokubo2

  • 1Department of Surgery, Yotsukaido Tokushukai Hospital, Chiba, Japan; Department of Coloproctological Surgery, Juntendo University Faculty of Medicine, Tokyo, Japan.

International Journal of Surgery Case Reports
|July 13, 2017
PubMed
Summary

Retrocecal hernia, a rare cause of intestinal obstruction, can be diagnosed preoperatively with CT scans. Early diagnosis prevents complications and reduces the need for small bowel resection.

Keywords:
Internal herniaPericecal herniaRetrocecal hernia

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Area of Science:

  • Gastroenterology
  • Surgical Anatomy
  • Diagnostic Imaging

Background:

  • Retrocecal hernia is an uncommon cause of pericecal hernia.
  • Preoperative diagnosis is challenging, often leading to emergency surgery.

Purpose of the Study:

  • To highlight the diagnostic utility of CT scans for retrocecal hernia.
  • To emphasize the importance of early diagnosis to prevent surgical complications.

Main Methods:

  • A case presentation of an 83-year-old male with sudden abdominal pain.
  • Abdominal CT scan revealed small bowel dilatation and obstruction.
  • Enhanced CT identified incarcerated small bowel loops behind the cecum.

Main Results:

  • Preoperative diagnosis of small bowel ileus due to retrocecal hernia was made.
  • Conservative management with a long intestinal tube was initiated.
  • Surgical exploration revealed incarcerated ileum, which was successfully reduced without resection.

Conclusions:

  • Early preoperative diagnosis of retrocecal hernia is crucial.
  • CT scans are valuable tools for identifying this condition preoperatively.
  • Timely diagnosis can prevent intestinal ischemia, necrosis, and reduce resection rates.