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

Mandalà, Stefano; Mirabella, Antonino; Lupo, Massimo; Branca, Massimo; Barbera, Camillo La; Szokoll, Carlo; Mandalà, Vincenzo

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

Document Type : Case Report

Authors

Stefano Mandalà ¹

Antonino Mirabella ²

Massimo Lupo ²

Massimo Branca ²

Camillo La Barbera ³

Carlo Szokoll ²

Vincenzo Mandalà ³

¹ ARNAS Civico Hospital, Palermo, Italy

² Villa Sofia-Cervello Hospital, Palermo, Italy

³ Buccheri La Ferla Hospital, Palermo, Italy

Abstract

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

Keywords

Paracecal Hernia

Internal Hernia

Small Bowel Obstruction

Strangulation

Laparoscopy