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Pericaecal internal hernia

Case contributed by Chris O'Donnell
Diagnosis almost certain

Presentation

Abdominal pain and vomiting

Patient Data

Age: 85 years
Gender: Female
ct

See: Case Discussion

Case Discussion

Herniation of a large collection of small bowel loops (ileum) through a cecal mesenteric defect, behind and lateral to the cecum, and into the right paracolic gutter.

The herniated bowel is swollen and the mesentery is edematous with free intraperitoneal fluid = ischemic (at least venous).

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