Paracolic Gutter Hernia

A pericecal hernia is a typical form of internal hernia and can be divided into 4 types.

Paracolic gutter hernia.

Epidemiology it accounts for only 6 13 of internal abdominal hernias. Paracecal hernia due to membranous adhesion of the omentum to the right paracolic gutter. Our finding represents an extremely rare variant of retroperitoneal hernias. A defect in this structure may allow small bowel herniation into the left paracolic gutter causing medial displacement of the descending colon.

Paracecal hernias also known as pericecal hernias are an exceptionally rare type of internal hernia. A less obvious medial paracolic gutter may be formed especially on the right side if the colon. 2 although our case displayed similar features to the paracolic sulcus type of pericecal hernia it differed from a pericecal hernia in that the hernia gate was located along the right paracolic gutter near the hepatic flexure. Clinical presentation clinical symptoms are often characterized by episodes of intense lower abdominal pain like a co.

The segment of intestine was reduced and the hernial defect was closed. Surgeons should be aware of this paracecal hernia type when they encounter the internal hernia. Paracecal hernias have a type of membranous adhesion of the omentum to the right paracolic gutter. Pericaecal hernia is a rare type of internal hernia.

A loop of ileum was found to enter the retroperitoneum through a hernia gate which was located lateral to the sigmoid colon in the left paracolic gutter. The main paracolic gutter lies lateral to the colon on each side. We describe this case including its imaging features. The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon.

The left medial paracolic gutter. Superior ileocecal recess inferior ileocecal recess retrocecal recess and paracolic sulcus. Internal hernias are an infrequent cause of small bowel obstruction 1.