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Retrocecal hernia: A case report.

Amine Fatine1,2, Mounir Bouali1,2, Abdelilah El Bakouri1,2

  • 1Visceral Surgery Emergency Department, University Hospital Center Ibn Rochd, Casablanca, Morocco.

Annals of Medicine and Surgery (2012)
|May 27, 2021
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Summary
This summary is machine-generated.

Retroperitoneal hernias are a rare cause of bowel obstruction. Early diagnosis with CT scans is crucial to avoid unnecessary surgery for this internal hernia.

Keywords:
IleumInternal herniaPericecal herniaRetrocecal hernia

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Area of Science:

  • Gastroenterology
  • Surgical Anatomy
  • Diagnostic Imaging

Background:

  • Retroperitoneal and retrocecal hernias are uncommon causes of intestinal obstruction.
  • Knowledge of these rare internal hernias is essential for timely diagnosis and appropriate management.
  • This case report reviews the characteristics and treatment of retroperitoneal hernias.

Observation:

  • A 72-year-old male presented with symptoms of bowel obstruction, including abdominal pain and vomiting.
  • Abdominal CT scan revealed small bowel loops clumped posteriorly and below the cecum, suggesting internal herniation.
  • The patient underwent laparotomy, revealing incarcerated bowel within a retrocecal fossa.

Findings:

  • Surgical exploration confirmed a retrocecal hernia with incarcerated viable bowel.
  • The surgical procedure involved releasing the incarcerated bowel by collapsing retrocecal ligaments.
  • The patient was treated surgically for the internal hernia.

Implications:

  • Internal hernias should be considered in patients with bowel obstruction, especially those without prior abdominal surgery or external hernias.
  • Accurate diagnosis via CT imaging can prevent misdiagnosis and guide surgical intervention.
  • Prompt recognition and surgical management are key to favorable outcomes in cases of retroperitoneal hernia.