- 期刊
- OpenAccess
Evaluation of Acquired Pericecal Hernia Using Computed Tomography: A Case Report
並列摘要
Internal abdominal herniation is infrequent, accounting for approximately 4.1% of small bowel obstructions. Pericecal herniation, which constitutes 10-15% of all internal abdominal herniations, may be congenital, because of herniation of a segment of the small bowel loop through one of the several pericecal recesses, or acquired, because of an adhesion band. A 70-year-old woman experienced severe right upper abdominal pain and vomiting for 1 day. Tenderness was noted in the right upper abdomen. Results of blood and urine analyses were normal. She had undergone an appendectomy 30 years previously. On the basis of computed tomography (CT) findings, a preoperative diagnosis of pericecal hernia was obtained. Immediate surgical exploration revealed an adhesion band between the appendiceal stump and the omentum; a 70-cm-long portion of the jejunum had herniated through the acquired defect. Preoperative recognition of the specific CT signs of pericecal hernia may prompt immediate surgery to reduce patient mortality and morbidity rates.