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  • Title: Laparoscopic surgery for diagnosis and treatment of bowel obstruction: case report of paracecal hernia.
    Author: Hirokawa T, Hayakawa T, Tanaka M, Okada Y, Sawai H, Takeyama H, Manabe T.
    Journal: Med Sci Monit; 2007 Jul; 13(7):CS79-82. PubMed ID: 17599030.
    Abstract:
    BACKGROUND: Small bowel obstruction cased by paracecal hernia is rare, and the condition is difficult to diagnose preoperatively. We herein report a case of paracecal hernia that was successfully diagnosed and treated with laparoscopic surgery. CASE REPORT: A 74-year-old man admitted our hospital. His previous medical history included appendectomy and diabetes. He had abdominal distension with slight tenderness. Abdominal image examinations gave the appearance of a small bowel obstruction. An emergency operation was performed due to the fear of strangulation. We diagnosed the paracecal hernia with laparoscopy and treated it with a mini-laparotomy. After the operation he was discharged without complications. Using the laparoscopic technique we were able to undergo a minimally invasive treatment, and the patient continues to do well. CONCLUSIONS: This case suggests that the laparoscopic technique is useful for diagnosing and treatment of bowel obstructions.
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