Pericaecal hernias account for 13% of all internal hernias. The pericaecal fossa is located behind the cecum and ascending colon, and is limited by the parietocecal fold outward and the mesentericocecal fold inward. Although there are four subtypes of hernia (ileocolic, retrocecal, ileocecal, and paracaecal), the most common is a herniated ileal segment protruding through a defect in the cecal mesentery extending into the right paracolic gutter as in this case.