Gangrenous Appendicitis: A Rare Presentation of Pericecal Hernia; Case Report and Review of the Literature

Bulletin of Emergency and Trauma

Swati Sattavan¹  Priyadarshi Dikshit¹  Shailesh Kumar²  Shubhendu Bhaduri³ 

[1] Dr. RML Hospital, New Delhi 1, India;Professor, Department of General Surgery, PGIMER &Resident, Department of General Surgery, PGIMER &Senior Resident, Department of General Surgery, PGIMER &

关键词: Pericecal hernia;    Appendicitis;    Internal hernia;    Acute abdomen;   

DOI  :  

学科分类：基础医学

来源: Shiraz University of Medical Sciences

【 摘 要 】

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.

【 授权许可】

CC BY