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 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.
Molto Aguado
M
M
Department of Surgery, Hospital General Vega Baja, Orihuela, Spain.
González Valverde
F M
FM
Barreras Mateos
J A
JA
Vázquez Rojas
J L
JL
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