Laparoscopic management of retrocecal hernia causing small bowel obstruction – A case report

Dr.A.Mishra; Dr C.R. Behera; Dr. C. Choudhary; Dr S.K.Panigrahi; Dr S.K.Mohanty; Dr.P.S.Pujari

Volume : VIII, Issue : V, May - 2019

Laparoscopic management of retrocecal hernia causing small bowel obstruction – A case report

Dr. A. Mishra, Dr C. R. Behera, Dr. C. Choudhary, Dr S. K. Panigrahi, Dr S. K. Mohanty, Dr. P. S. Pujari

Abstract :

Internal hernia (IH) occurs rarely, but frequently present in association with small bowel obstruction or strangulation. Clinical presentation is nonspecific and diagnosis is difficult, but untreated cases are potentially life threatening with high morbidity and mortality. We present a case of 30 year female presented with symptoms of acute small intestinal obstruction. After initial evaluation and CECT abdomen, diagnostic laparoscopy was done, which revealed congested loops of small bowel herniating into the retrocecal space. Reduction of the herniated bowel loops, appendicectomy with opening of the retrocecal hernia defect was done. Literature review entails rarity of retrocecal subtype of pericecal IH and very few reports of laparoscopic managements of the associated small bowel obstruction