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UNUSUAL CASE
Ahead of Print

Laparoscopic treatment of a pericaecal internal hernia


1 Department of General Surgery, Buenos Aires British Hospital, Buenos Aires, Argentina
2 Department of Esophageal and Gastric Surgery, Buenos Aires British Hospital, Buenos Aires, Argentina

Correspondence Address:
Agustin Buero,
Department of General Surgery, Buenos Aires British Hospital, Perdriel 74, CABA, 1280, Buenos Aires
Argentina
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.JMAS_257_19

PMID: 31929229

We present the case of a pericaecal hernia treated successfully with a laparoscopic approach and full recovery after surgery. A 53-year-old female patient with a personal history of depression, osteoporosis and irritable bowel syndrome consulted to the emergency department for abdominal pain and distension in the last 12 h, associated with one episode of vomit and diminished frequency in the passage of stools. The right abdomen was tender to palpation, and blood work revealed no leucocytosis. A computed tomography scan showed small bowel loops distended and displaced to the right parietocolic recess, lateral to the ascending colon. Exploratory laparoscopy was performed confirming the presence of small bowel loops incarcerated in the paracaecal fossa. These ones were reduced with gentle manoeuvres, and the peritoneal folds incised to prevent recurrence. The patient was started on an oral diet 2 days after surgery and discharged home on the 3rd post-operative day.


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    -  Iriarte F
    -  Buero A
    -  Pirchi DE
    -  Nardi WS
    -  Irribarra MM
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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04