Ileal entrapment within a paracaecal hernia mimicking acute appendicitis.
Presented is a case of incarcerated paracaecal hernia mimicking acute appendicitis. The clinical scenario highlights the need for a high index of suspicion in the management of patients with localised peritonism even in the absence of obstructive symptoms and the presence of normal laboratory markers of inflammation. Whilst computed tomography might offer a pre-operative diagnosis, in such a low-risk patient laparoscopy offers the combined advantages of immediate diagnosis and definitive treatment of acute pathology.
Birchley
David
D
Department of Vascular Surgery, Torbay Hospital, Torquay, Devon, UK. dbirchley@hotmail.com