title: Retrocecal hernia successfully treated with laparoscopic surgery: A case report and literature review of 15 cases in Japan.
abstract: BACKGROUND
  Retrocecal hernia is rare and involves strangulation ileus, and therefore, frequently requires emergency surgery following conservative therapy.
  
  
  METHODS
  We report an interesting case of a retrocecal hernia in a 65-year-old man, with a history of diabetes mellitus. The patient was admitted to our hospital with severe periumbilical pain and nausea. Abdominal computed tomography revealed an intestinal obstruction at a pericecal site, and dilatation of the small bowel at the oral side of the obstruction. The patient was initially treated with conservative therapy using long intestinal tube placement. On the 12th hospital day, the patient's symptoms had not resolved, and laparoscopic surgery was performed. We diagnosed a retrocecal hernia based on laparoscopic findings and repaired it. The patient was discharged without complications on the 7th postoperative day.
  
  
  CONCLUSIONS
  Using laparoscopic exploration and suturing, we were able to perform a minimally invasive operation that may have promoted an earlier hospital discharge.
authors.affiliation: Department of Surgery, Ibaraki Prefectural Central Hospital, 6528 Koibuchi, Kasama-shi, Ibaraki 309-1793, Japan. Electronic address: sasakik-tky@umin.ac.jp.
authors.forename: Kazuhito
authors.initials: K
authors.lastname: Sasaki
authors.affiliation: Department of Surgery, Ibaraki Prefectural Central Hospital, 6528 Koibuchi, Kasama-shi, Ibaraki 309-1793, Japan. Electronic address: hi-kawasaki@chubyoin.pref.ibaraki.jp.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kawasaki
authors.affiliation: Department of Surgery, Ibaraki Prefectural Central Hospital, 6528 Koibuchi, Kasama-shi, Ibaraki 309-1793, Japan. Electronic address: h-abe@chubyoin.pref.ibaraki.jp.
authors.forename: Hideki
authors.initials: H
authors.lastname: Abe
authors.affiliation: Department of Surgery, Ibaraki Prefectural Central Hospital, 6528 Koibuchi, Kasama-shi, Ibaraki 309-1793, Japan. Electronic address: h-nagai@chubyoin.pref.ibaraki.jp.
authors.forename: Hideo
authors.initials: H
authors.lastname: Nagai
authors.affiliation: Department of Surgery, Ibaraki Prefectural Central Hospital, 6528 Koibuchi, Kasama-shi, Ibaraki 309-1793, Japan. Electronic address: f-yoshimi@chubyoin.pref.ibaraki.jp.
authors.forename: Fuyo
authors.initials: F
authors.lastname: Yoshimi
keywords: Laparoscopic surgery; Pericecal hernia; Retrocecal hernia