title: Small intestinal strangulation due to a primary internal paracecal hernia.
abstract: 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.
authors.affiliation: Department of Surgery, Hospital General Vega Baja, Orihuela, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Molto Aguado
authors.forename: F M
authors.initials: FM
authors.lastname: González Valverde
authors.forename: J A
authors.initials: JA
authors.lastname: Barreras Mateos
authors.forename: J L
authors.initials: JL
authors.lastname: Vázquez Rojas
mesh_terms: D002432:Cecum; D005260:Female; D046449:Hernia, Abdominal / Q000150:complications* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D045822:Intestinal Volvulus / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008875:Middle Aged