A Case Report of Lateral Paracecal Hernia with Laparoscopic Hernioplasty Diagnosed Preoperatively

Masaoki Hattori, Hideaki Suzuki, Hiroaki Shibahara, Shingo Kuze and Jyunichi Takamizawa

Department of Surgery, Fukuroi Municipal Hospital

A 77-year-old woman admitted for lower right lower abdominal pain and with no history of laparotomy was diagnosed with ileus and underwent long-tube decompression, multidetector-row computed tomography (CT) after small bowel contrast examination showed a loop in the small intestine on the ventral caudal side of the cecum, and she was diagnosed with a paracecal hernia. Under laparoscopy, the hernia sac on the lateral side of the cecum was dissected and opened. The postoperative course was uneventful and she was discharged on postoperative day 5. This lateral paracecal hernia is outside of the usual classification -ileocecal superior, ileocecal inferior, ileocecal infima, and retrocecal type- usually cited in Japan. Multidetector-row CT after small bowel contrast examination thus proved useful in diagnosing and the treating this case minimally invasively.

Key words
paracecal hernia, multidetector-row CT, laparoscopic surgery

Reprint requests
Masaoki Hattori Department of Surgery, Fukuroi Municipal Hospital
2515-1 Kunou, Fukuroi, 437-0061 JAPAN

Accepted
September 26, 2007

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