Gangrenous Appendicitis: A Rare Presentation of Pericecal Hernia; Case Report and Review of the Literature
Journal Title: Bulletin of Emergency And Trauma - Year 2015, Vol 3, Issue 4
Abstract
Intra-abdominal Hernias are rare conditions usually secondary to congenital defects, with pericecal hernias accounting for a minority of them. They can be difficult to diagnose due to non-specific presentations but may lead to strangulation and thus require early management. We herein report a rare case of pericecal hernia with gangrenous appendicitis in an 88 year-old lady presenting with features of acute intestinal obstruction and right iliac fossa lump, which on exploration was found to be a pericecal hernia with knotting, strangulation, and gangrenous changes of appendix. This case highlights the need of a high index of suspicion for internal hernias and that of prompt operative intervention to avoid enterectomies and to improve outcome.
Authors and Affiliations
Shailesh Kumar, Priyadarshi Dikshit, Shubhendu Bhaduri, Swati Sattavan
Keywords
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