Strangulated Small Bowel Obstruction in Paracecal Hernia and Laparoscopic Approach: A Case Report and Review of Literature

Abstract

Internal hernia (IH) is an infrequent cause of small bowel obstruction, and paracecal hernia (PH) is very rare. The etiology is related to congenital or acquired causes. The current report was on the case of a 67-year-old male admitted to surgical emergency department for a small bowel obstruction due to a PH. The patient was taken to theatre and underwent a laparoscopic-assisted procedure of small bowel resection for strangulation. The postoperative course was uneventful. As demonstrated in literature, the most important diagnostic tool is contrast-enhanced computed tomography (CT) (when possible with reformatted images). Early diagnosis and prompt surgical intervention is paramount to achieve a good outcome. Laparoscopic approach seems to have an interesting role in such conditions. A further review of literature was performed to highlight the current “state of art” in diagnostic and therapeutic management, especially with regard to laparoscopic approach, of this rare disease.