Pericecal hernia of the inferior ileocecal recess: CT findings.
Internal abdominal herniations are rare. A 34-year-old healthy man was seen in the emergency room because of severe lower abdominal pain and episodic vomiting. Pericecal internal herniation of the inferior ileocecal recess was suspected by abdominal CT study and confirmed by exploratory laparotomy. Finally, the herniated ileal loops were reduced, and the redundant peritoneum was resected. In the present case, CT demonstrates the precise anatomic diagnosis and shows acute complications that should be recommended preoperatively. Urgent surgical intervention is necessary to prevent strangulation, which is responsible for high mortality. Early diagnosis and treatment had a good outcome.
Fu
Chun-Yu
CY
Department of Surgery, Songshan Armed Forced General Hospital, Taipei, Taiwan, Republic of China.
Chang
Wei-Chou
WC
Lu
Huai-En
HE
Su
Chung-Jen
CJ
Tan
Kuang-Huan
KH
D000328:Adult; D002432:Cecum / Q000000981:diagnostic imaging; D044682:Colon, Ascending / Q000000981:diagnostic imaging; D003287:Contrast Media; D005500:Follow-Up Studies; D006547:Hernia / Q000000981:diagnostic imaging*; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging*; D007813:Laparotomy; D008297:Male; D010537:Peritoneum / Q000000981:diagnostic imaging; D011860:Radiography, Abdominal; D012187:Retroperitoneal Space / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed
D003287:Contrast Media