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Small bowel obstruction secondary to a pericecal hernia in an adult patient, an extremely rare condition. 2020

Jorge Sancho-Muriel, and Hanna Cholewa, and David Abelló, and Elena Cepeda, and Matteo Frasson, and Eduardo García-Granero
Colorectal Unit, Hospital Universitario y Politécnico la Fe, Valencia, Spain.

Internal hernias are defined by the protrusion of an abdominal organ through a peritoneal or mesenteric aperture. They are responsable for up to 5.8% of all small bowel obstructions (SBOs). Pericecal hernia is a highly unusual variation. We present a case of a 17-year-old Asian male turned to the emergency department due to abrupt abdominal pain and peritonitis. An emergent laparotomy revealed a small bowel herniation through the avascular space of Treves with small bowel necrosis. A pericecal hernia is an extremely unusual clinical entity; however, it should be considered in the differential diagnosis of SBO.

UI MeSH Term Description Entries
D007415 Intestinal Obstruction Any impairment, arrest, or reversal of the normal flow of INTESTINAL CONTENTS toward the ANAL CANAL. Intestinal Obstructions,Obstruction, Intestinal
D007421 Intestine, Small The portion of the GASTROINTESTINAL TRACT between the PYLORUS of the STOMACH and the ILEOCECAL VALVE of the LARGE INTESTINE. It is divisible into three portions: the DUODENUM, the JEJUNUM, and the ILEUM. Small Intestine,Intestines, Small,Small Intestines
D008297 Male Males
D008643 Mesentery A layer of the peritoneum which attaches the abdominal viscera to the ABDOMINAL WALL and conveys their blood vessels and nerves. Mesenteries
D006547 Hernia Protrusion of tissue, structure, or part of an organ through the bone, muscular tissue, or the membrane by which it is normally contained. Hernia may involve tissues such as the ABDOMINAL WALL or the respiratory DIAPHRAGM. Hernias may be internal, external, congenital, or acquired. Enterocele,Hernias
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000082122 Internal Hernia A protrusion of an internal abdominal organ through a hole in an anatomical structure such as a muscle or a membrane. For instance, in paraduodenal hernia the SMALL INTESTINE herniates through an opening in the MESENTERIES. It includes intra-abdominal and diaphragmatic hernias. In abdominal hernia a protrusion occurs through a weak spot in the muscle of the ABDOMINAL WALL. Broad Ligament Hernia,Foramen of Winslow Hernia,Intersigmoid Hernia,Intra Abdominal Hernia,Intra-abdominal Hernia,Intramesenteric Hernia,Lesser Sac Hernia,Paracaecal Hernia,Paracecal Herniation,Pelvic Internal Hernia,Pericaecal Hernia,Pericaecal Herniation,Pericaecal Internal Herniation,Pericecal Hernia,Retrocecal Hernia,Sigmoid Mesocolon Hernia,Supravesical Hernia,Transmesenteric Hernia,Transmesosigmoid Hernia,Transomental Hernia,Abdominal Hernia, Intra,Broad Ligament Hernias,Hernia Foramen, Winslow,Hernia, Broad Ligament,Hernia, Internal,Hernia, Intersigmoid,Hernia, Intra Abdominal,Hernia, Intramesenteric,Hernia, Lesser Sac,Hernia, Paracaecal,Hernia, Pelvic Internal,Hernia, Pericaecal,Hernia, Pericecal,Hernia, Retrocecal,Hernia, Sigmoid Mesocolon,Hernia, Supravesical,Hernia, Transmesenteric,Hernia, Transmesosigmoid,Hernia, Transomental,Herniation, Paracecal,Herniation, Pericaecal,Internal Hernia, Pelvic,Internal Hernias,Internal Herniation, Pericaecal,Intersigmoid Hernias,Intra Abdominal Hernias,Intra-abdominal Hernias,Intramesenteric Hernias,Lesser Sac Hernias,Ligament Hernia, Broad,Ligament Hernias, Broad,Paracaecal Hernias,Paracecal Herniations,Pelvic Internal Hernias,Pericaecal Hernias,Pericaecal Herniations,Pericaecal Internal Herniations,Pericecal Hernias,Retrocecal Hernias,Sigmoid Mesocolon Hernias,Supravesical Hernias,Transmesenteric Hernias,Transmesosigmoid Hernias,Transomental Hernias,Winslow Hernia Foramen
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D046449 Hernia, Abdominal A protrusion of abdominal structures through the retaining ABDOMINAL WALL. It involves two parts: an opening in the abdominal wall, and a hernia sac consisting of PERITONEUM and abdominal contents. Abdominal hernias include groin hernia (HERNIA, FEMORAL; HERNIA, INGUINAL) and VENTRAL HERNIA. Abdominal Wall Hernias,Hernias, Abdominal Wall,Abdominal Hernia,Abdominal Hernias,Abdominal Wall Hernia,Hernia, Abdominal Wall,Hernias, Abdominal

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