Paracecal hernia with intestinal obstruction managed with laparoscopic surgery: A case report

Area of Science:

• Gastroenterology
• Surgical Case Reports
• Abdominal Imaging

Background:

• Paracecal hernia is an uncommon etiology of small bowel obstruction.
• Internal hernias can present with nonspecific symptoms, mimicking other acute abdominal conditions.

Observation:

• A 75-year-old male presented with acute abdominal pain, vomiting, and obstipation.
• Computed tomography revealed an obstructed paracecal hernia with an inflamed appendix.
• The hernial sac was noted within the inferior ileocecal recess.

Findings:

• Surgical reduction of the paracecal hernia and appendectomy were successfully performed.
• The patient experienced an uncomplicated recovery and was discharged on postoperative day five.

Implications:

• Prompt diagnosis of internal hernias, including paracecal types, is vital to avert intestinal ischemia and strangulation.
• Awareness of characteristic imaging findings aids in timely diagnosis and management.
• Laparoscopic approaches offer a safe and effective treatment option for paracecal hernias.