Abdominal Imaging

, Volume 32, Issue 1, pp 81–83 | Cite as

Pericecal hernia of the inferior ileocecal recess: CT findings

  • Chun-Yu Fu
  • Wei-Chou Chang
  • Huai-En LuEmail author
  • Chung-Jen Su
  • Kuang-Huan Tan


Internal abdominal herniations are rare. A 34-year-old healthy man was seen in the emergency room because of severe lower abdominal pain and episodic vomiting. Pericecal internal herniation of the inferior ileocecal recess was suspected by abdominal CT study and confirmed by exploratory laparotomy. Finally, the herniated ileal loops were reduced, and the redundant peritoneum was resected. In the present case, CT demonstrates the precise anatomic diagnosis and shows acute complications that should be recommended preoperatively. Urgent surgical intervention is necessary to prevent strangulation, which is responsible for high mortality. Early diagnosis and treatment had a good outcome.


Pericecal hernia Internal abdominal hernia Computed tomography Surgery Abdomen 


  1. 1.
    Sufian S, Matsumoto T (1975) Intestinal obstruction. Am J Surg 130:9–14PubMedCrossRefGoogle Scholar
  2. 2.
    Ghahremani GG (1994) Abdominal and pelvic hernias. In: Gore RM, Levine MS, (eds). Textbook of gastrointestinal radiology. Philadelphia: SaundersGoogle Scholar
  3. 3.
    Rivkind AI, Shiloni E, Muggia-Sullam M, et al. (1986) Paracecal hernia: a cause of intestinal obstruction. Dis Colon Rectum 29:752–754PubMedCrossRefGoogle Scholar
  4. 4.
    Furukawa A, Yamasaki M, Furuichi K, et al. (2001) Helical CT in the diagnosis of small bowel obstruction. Radiographics 21:341–355PubMedGoogle Scholar
  5. 5.
    Boudialf M, Soyer P, Terem C, et al. (2001) CT evaluation of small bowel obstruction. Radiographics 21:613–624Google Scholar
  6. 6.
    Mathieu D, Luciani A (2004) GERMAD Group. Internal abdominal herniations. AJR 183:397–404PubMedGoogle Scholar
  7. 7.
    Zarvan NP, Lee FT Jr, Yandow DR, et al. (1995) Abdominal hernias: CT findings. AJR 164:1391–1395PubMedGoogle Scholar
  8. 8.
    Lu HC, Wang J, Tsang YM, et al. (2002) Case report: pericecal hernia: a report of two cases and survey of the literature. Clin Radiol 57:855–858PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2006

Authors and Affiliations

  • Chun-Yu Fu
    • 1
  • Wei-Chou Chang
    • 2
  • Huai-En Lu
    • 1
    • 3
    Email author
  • Chung-Jen Su
    • 1
  • Kuang-Huan Tan
    • 1
  1. 1.Department of SurgerySongshan Armed Forced General HospitalTaipeiRepublic of China
  2. 2.Department of RadiologyTri-Service General Hospital, National Defense Medical CenterTaipeiRepublic of China
  3. 3.Department of SurgerySongshan Armed Forced General HospitalTaipeiRepublic of China

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