, Volume 11, Issue 5, pp 457–458 | Cite as

Small intestinal strangulation due to a primary internal paracecal hernia

  • M. Molto Aguado
  • F. M. González ValverdeEmail author
  • J. A. Barreras Mateos
  • J. L. Vázquez Rojas
Case Report


The discovery of a paracolic hernia is an unusual event, even for an experienced specialist in colorectal surgery. We report a case of a 59-year-old woman with no previous history of abdominal surgery, who presented to the Emergency Department complaining of episodic abdominal pain and distension accompanied by a palpable mass in the right lower quadrant. At laparotomy, a paracecal hernia with small bowel volvulation was found. The prime objective of this report is to draw the clinician's attention to the necessity of making a rapid diagnosis of internal hernias.


Internal hernia Intestinal strangulation Paracecal hernia Paracolic hernia 


  1. 1.
    Blachar A, Federle MP (2002) Internal hernia: an increasingly common cause of small bowel obstruction. Semin Ultrasound CT MR 23:174–183PubMedCrossRefGoogle Scholar
  2. 2.
    Rivkind A, Shiloni E, Muggia-Sullam M (1986) Paracecal hernia: a cause of intestinal obstruction. Dis Colon Rectum 29:752–754PubMedCrossRefGoogle Scholar
  3. 3.
    Osadchy A, Keidar A, Zissin R (2005) Small bowel obstruction due to a paracecal hernia: computerized tomography diagnosis. Emerg Radiol 11:239–241PubMedCrossRefGoogle Scholar
  4. 4.
    Omori H, Asahi H, Inoue T (2003) Laparoscopic paracecal hernia repair. J Laparoendosc Adv Surg Tech A 13:55–57PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • M. Molto Aguado
    • 1
  • F. M. González Valverde
    • 2
    • 3
    Email author
  • J. A. Barreras Mateos
    • 1
  • J. L. Vázquez Rojas
    • 2
  1. 1.Department of SurgeryHospital General Vega Baja OrihuelaSpain
  2. 2.Department of SurgeryHospital General Universitario Reina Sofia De MurciaMurciaSpain
  3. 3.MurciaSpain

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