Strangulated bowel obstruction secondary to a pericecal hernia: A case report

Internal hernias are a rare cause of acute intestinal obstruction, accounting for approximately 5.8% of all cases. Pericecal hernias, the second most common type of internal hernia, remain challenging to diagnose preoperatively, owing to the lack of specific clinical signs. Abdominal computed tomogr...

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Main Authors: Juba Mansouri, Sif el I. Meharzi, Anisse Tidjane, Mohamed H. Larbi, Nacim Ikhlef, Anissa Ilham Ourabah, Benali Tabeti
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
Series:International Journal of Abdominal Wall and Hernia Surgery
Subjects:
Online Access:https://doi.org/10.4103/ijawhs.ijawhs_85_24
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author Juba Mansouri
Sif el I. Meharzi
Anisse Tidjane
Mohamed H. Larbi
Nacim Ikhlef
Anissa Ilham Ourabah
Benali Tabeti
author_facet Juba Mansouri
Sif el I. Meharzi
Anisse Tidjane
Mohamed H. Larbi
Nacim Ikhlef
Anissa Ilham Ourabah
Benali Tabeti
author_sort Juba Mansouri
collection DOAJ
description Internal hernias are a rare cause of acute intestinal obstruction, accounting for approximately 5.8% of all cases. Pericecal hernias, the second most common type of internal hernia, remain challenging to diagnose preoperatively, owing to the lack of specific clinical signs. Abdominal computed tomography is an essential examination, as it allows the diagnosis of acute intestinal obstruction, especially its etiology and signs of severity, such as intestinal ischemia. We report a case of a 35-year-old man who presented with small bowel obstruction with suspicion of pericecal hernia. An emergency laparotomy confirmed the diagnosis of a retrocecal hernia with the identification of four loops of ischemia requiring resection. Our case highlights the importance of considering this diagnosis in cases of acute abdominal pain, especially in acute intestinal obstruction, and emphasizes the crucial role of surgery in confirming the diagnosis, preventing complications, and treating the obstruction.
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publisher Wolters Kluwer Medknow Publications
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series International Journal of Abdominal Wall and Hernia Surgery
spelling doaj-art-c7ac88e55fa24a75ae12cb72b3b5a3532025-08-20T03:17:08ZengWolters Kluwer Medknow PublicationsInternational Journal of Abdominal Wall and Hernia Surgery2589-87362589-80782025-04-018213513810.4103/ijawhs.ijawhs_85_24Strangulated bowel obstruction secondary to a pericecal hernia: A case reportJuba MansouriSif el I. MeharziAnisse TidjaneMohamed H. LarbiNacim IkhlefAnissa Ilham OurabahBenali TabetiInternal hernias are a rare cause of acute intestinal obstruction, accounting for approximately 5.8% of all cases. Pericecal hernias, the second most common type of internal hernia, remain challenging to diagnose preoperatively, owing to the lack of specific clinical signs. Abdominal computed tomography is an essential examination, as it allows the diagnosis of acute intestinal obstruction, especially its etiology and signs of severity, such as intestinal ischemia. We report a case of a 35-year-old man who presented with small bowel obstruction with suspicion of pericecal hernia. An emergency laparotomy confirmed the diagnosis of a retrocecal hernia with the identification of four loops of ischemia requiring resection. Our case highlights the importance of considering this diagnosis in cases of acute abdominal pain, especially in acute intestinal obstruction, and emphasizes the crucial role of surgery in confirming the diagnosis, preventing complications, and treating the obstruction.https://doi.org/10.4103/ijawhs.ijawhs_85_24internal herniapericecal herniaretrocecal herniasmall bowel obstruction
spellingShingle Juba Mansouri
Sif el I. Meharzi
Anisse Tidjane
Mohamed H. Larbi
Nacim Ikhlef
Anissa Ilham Ourabah
Benali Tabeti
Strangulated bowel obstruction secondary to a pericecal hernia: A case report
International Journal of Abdominal Wall and Hernia Surgery
internal hernia
pericecal hernia
retrocecal hernia
small bowel obstruction
title Strangulated bowel obstruction secondary to a pericecal hernia: A case report
title_full Strangulated bowel obstruction secondary to a pericecal hernia: A case report
title_fullStr Strangulated bowel obstruction secondary to a pericecal hernia: A case report
title_full_unstemmed Strangulated bowel obstruction secondary to a pericecal hernia: A case report
title_short Strangulated bowel obstruction secondary to a pericecal hernia: A case report
title_sort strangulated bowel obstruction secondary to a pericecal hernia a case report
topic internal hernia
pericecal hernia
retrocecal hernia
small bowel obstruction
url https://doi.org/10.4103/ijawhs.ijawhs_85_24
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