Pericaecal internal hernia

Case contributed by Dr Chris O'Donnell

Presentation

Abdominal pain and vomiting

Patient Data

Age: 86
Gender: Female
Modality: CT

See: Case Discussion

Case Discussion

Herniation of a large collection of small bowel loops (ileum) through a caecal mesenteric defect, behind and lateral to the caecum, and into the right paracolic gutter.

The herniated bowel is swollen and the mesentery is oedematous with free intraperitoneal fluid = ischaemic (at least venous).

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Case Information

rID: 20029
Case created: 29th Oct 2012
Last edited: 12th Nov 2015
Inclusion in quiz mode: Included

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