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  • Title: Small bowel obstruction secondary to a pericecal hernia in an adult patient, an extremely rare condition.
    Author: Sancho-Muriel J, Cholewa H, Abelló D, Cepeda E, Frasson M, García-Granero E.
    Journal: Cir Cir; 2020; 88(Suppl 1):91-93. PubMed ID: 32963390.
    Abstract:
    Internal hernias are defined by the protrusion of an abdominal organ through a peritoneal or mesenteric aperture. They are responsable for up to 5.8% of all small bowel obstructions (SBOs). Pericecal hernia is a highly unusual variation. We present a case of a 17-year-old Asian male turned to the emergency department due to abrupt abdominal pain and peritonitis. An emergent laparotomy revealed a small bowel herniation through the avascular space of Treves with small bowel necrosis. A pericecal hernia is an extremely unusual clinical entity; however, it should be considered in the differential diagnosis of SBO. La hernia interna se define como la protrusión de un órgano abdominal a través de un orificio peritoneal o mesentérico. Las hernias son causa de hasta el 5% de las obstrucciones de intestino delgado. La hernia pericecal es un subtipo extremadamente infrecuente. Presentamos el caso de un varón asiático de 17 años que acudió a nuestro centro por un cuadro de abdomen agudo con dolor y peritonitis. Durante la laparotomía se evidenció la herniación del intestino delgado a través del espacio avascular de Treves, con necrosis del mismo. La hernia pericecal es un subtipo extremadamente raro, pero que debemos plantearnos en el diagnóstico diferencial del síndrome de obstrucción intestinal.
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