Laparoscopic surgery for diagnosis and treatment of bowel obstruction: case report of paracecal hernia.
BACKGROUND
Small bowel obstruction cased by paracecal hernia is rare, and the condition is difficult to diagnose preoperatively. We herein report a case of paracecal hernia that was successfully diagnosed and treated with laparoscopic surgery.


METHODS
A 74-year-old man admitted our hospital. His previous medical history included appendectomy and diabetes. He had abdominal distension with slight tenderness. Abdominal image examinations gave the appearance of a small bowel obstruction. An emergency operation was performed due to the fear of strangulation. We diagnosed the paracecal hernia with laparoscopy and treated it with a mini-laparotomy. After the operation he was discharged without complications. Using the laparoscopic technique we were able to undergo a minimally invasive treatment, and the patient continues to do well.


CONCLUSIONS
This case suggests that the laparoscopic technique is useful for diagnosing and treatment of bowel obstructions.
Hirokawa
Takahisa
T
Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan. hiro@med.nagoya-cu.ac.jp
Hayakawa
Tetsushi
T
Tanaka
Moritsugu
M
Okada
Yuji
Y
Sawai
Hirozumi
H
Takeyama
Hiromitsu
H
Manabe
Tadao
T
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001062:Appendectomy; D002648:Child; D005260:Female; D046449:Hernia, Abdominal / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D007421:Intestine, Small / Q000000981:diagnostic imaging / Q000473:pathology; D007422:Intestines / Q000000981:diagnostic imaging; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed / Q000379:methods