A spontaneous paracecal herniation: a rare form of an uncommon case.

Autor: Mwanje BA; Department of Surgery, Mengo Hospital, Kampala, Uganda., Nassaka MG; Department of Surgery, Mengo Hospital, Kampala, Uganda., Kanyike AM; Department of Surgery, Mengo Hospital, Kampala, Uganda.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2023 Feb 06; Vol. 2023 (2), pp. rjad037. Date of Electronic Publication: 2023 Feb 06 (Print Publication: 2023).
DOI: 10.1093/jscr/rjad037
Abstrakt: Paracecal hernias are a rare form of internal hernias. This is a case of a spontaneous paracecal retroperitoneal hernia in an elderly patient. A 73-year-old male, a known patient of adenocarcinoma of the rectum, who had undergone neoadjuvant radiotherapy and chemotherapy a year ago, presented with a 2-day-history of exacerbated colicky peri-umbilical and right-sided non-radiating abdominal pain, with associated progressive abdominal distension, which were aggravated by feeding. A contrasted abdominal computed tomography scan showed features of small bowel obstruction. An exploratory laparotomy revealed herniation of gangrenous small bowel ~30 cm through a small, tight opening just below the base of the cecum. Resection and anastomosis and closure of the retroperitoneal pouch were done. Patient recovered and was discharged on the fourth post-operative day. Spontaneous retroperitoneal hernias can occur in elderly patients with additional risk factors like neoplasms, with a high risk of bowel ischemia, hence the urgent need for surgical intervention.
(Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023.)
Databáze: MEDLINE
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