Strangulated Small Bowel Obstruction in Paracecal Hernia and Laparoscopic Approach: A Case Report and Review of Literature

Abstract

Internal hernia (IH) is an infrequent cause of small bowel obstruction, and paracecal hernia (PH) is very rare. The etiology is relatedto congenital or acquired causes. The current report was on the case of a 67-year-old male admitted to surgical emergency departmentfor a small bowel obstruction due to a PH. The patient was taken to theatre and underwent a laparoscopic-assisted procedureof small bowel resection for strangulation. The postoperative course was uneventful. As demonstrated in literature, the most importantdiagnostic tool is contrast-enhanced computedtomography (CT) (when possible with reformatted images). Early diagnosis andprompt surgical intervention is paramount to achieve a good outcome. Laparoscopic approach seems to have an interesting role insuch conditions. A further review of literature was performed to highlight the current “state of art” in diagnostic and therapeuticmanagement, especially with regard to laparoscopic approach, of this rare disease.

Keywords

• paracecal hernia
• internal hernia
• small bowel obstruction
• strangulation
• laparoscopy