Small intestinal strangulation due to a primary internal paracecal hernia

The discovery of a paracolic hernia is an unusual event, even for an experienced specialist in colorectal surgery. We report a case of a 59-year-old woman with no previous history of abdominal surgery, who presented to the Emergency Department complaining of episodic abdominal pain and distension ac...

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Bibliographic Details
Published in:Hernia : the journal of hernias and abdominal wall surgery 2007-10, Vol.11 (5), p.457-458
Main Authors: Molto Aguado, M, González Valverde, F M, Barreras Mateos, J A, Vázquez Rojas, J L
Format: Article
Language:English
Subjects:
Cecum
Female
Hernia, Abdominal - complications
Hernia, Abdominal - pathology
Hernia, Abdominal - surgery
Humans
Ileal Diseases - diagnosis
Ileal Diseases - etiology
Ileal Diseases - surgery
Intestinal Volvulus - diagnosis
Intestinal Volvulus - etiology
Intestinal Volvulus - surgery
Middle Aged
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Summary:The discovery of a paracolic hernia is an unusual event, even for an experienced specialist in colorectal surgery. We report a case of a 59-year-old woman with no previous history of abdominal surgery, who presented to the Emergency Department complaining of episodic abdominal pain and distension accompanied by a palpable mass in the right lower quadrant. At laparotomy, a paracecal hernia with small bowel volvulation was found. The prime objective of this report is to draw the clinician's attention to the necessity of making a rapid diagnosis of internal hernias.
ISSN:1265-4906
1248-9204
DOI:10.1007/s10029-007-0210-y