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