title: Gangrenous Appendicitis: A Rare Presentation of Pericecal Hernia; Case Report and Review of the Literature.
abstract: Intra-abdominal Hernias are rare conditions usually secondary to congenital defects, with pericecal hernias accounting for a minority of them. They can be difficult to diagnose due to non-specific presentations but may lead to strangulation and thus require early management. We herein report a rare case of pericecal hernia with gangrenous appendicitis in an 88 year-old lady presenting with features of acute intestinal obstruction and right iliac fossa lump, which on exploration was found to be a pericecal hernia with knotting, strangulation, and gangrenous changes of appendix. This case highlights the need of a high index of suspicion for internal hernias and that of prompt operative intervention to avoid enterectomies and to improve outcome.
authors.affiliation: Department of General Surgery, PGIMER & Dr. RML Hospital, New Delhi, India.
authors.forename: Shailesh
authors.initials: S
authors.lastname: Kumar
authors.affiliation: Department of General Surgery, PGIMER & Dr. RML Hospital, New Delhi, India.
authors.forename: Priyadarshi
authors.initials: P
authors.lastname: Dikshit
authors.affiliation: Department of General Surgery, PGIMER & Dr. RML Hospital, New Delhi, India.
authors.forename: Shubhendu
authors.initials: S
authors.lastname: Bhaduri
authors.affiliation: Department of General Surgery, PGIMER & Dr. RML Hospital, New Delhi, India.
authors.forename: Swati
authors.initials: S
authors.lastname: Sattavan
keywords: Acute abdomen; Appendicitis; Internal hernia; Pericecal hernia