Bulletin of Emergency And Trauma

Gangrenous Appendicitis: A Rare Presentation of Pericecal Hernia; Case Report and Review of the Literature

Document Type : Case Report

Authors

Shailesh Kumar 1
Priyadarshi Dikshit 2
Shubhendu Bhaduri 2
Swati Sattavan 3

1 Professor, Department of General Surgery, PGIMER & Dr. RML Hospital, New Delhi 1, India

2 Resident, Department of General Surgery, PGIMER & Dr. RML Hospital, New Delhi 1, India

3 Senior Resident, Department of General Surgery, PGIMER & Dr. RML Hospital, New Delhi 1, India

Abstract
Intra-abdominal Hernias are rare conditions usually secondary to congenital defects, with pericecal hernias accounting for a minority of them. They can be difficult to diagnose due to non-specific presentations but may lead to strangulation and thus require early management. We herein report a rare case of pericecal hernia with gangrenous appendicitis in an 88 year-old lady presenting with features of acute intestinal obstruction and right iliac fossa lump, which on exploration was found to be a pericecal hernia with knotting, strangulation, and gangrenous changes of appendix. This case highlights the need of a high index of suspicion for internal hernias and that of prompt operative intervention to avoid enterectomies and to improve outcome.

Keywords

Pericecal hernia
Appendicitis
Internal hernia
Acute abdomen
Bulletin of Emergency And Trauma
Volume 3, Issue 4 - Serial Number 4
21
Autumn 2015
Pages 144-147

  • Receive Date 09 August 2015
  • Accept Date 09 March 2019

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