Paracolic Gutter Hernia

Epidemiology it accounts for only 6 13 of internal abdominal hernias.

Paracolic gutter hernia. Internal hernias are an infrequent cause of small bowel obstruction 1. We describe this case including its imaging features. Paracecal hernias have a type of membranous adhesion of the omentum to the right paracolic gutter. 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.

Pericaecal hernia is a rare type of internal hernia. The left medial paracolic gutter. Clinical presentation clinical symptoms are often characterized by episodes of intense lower abdominal pain like a co. Our finding represents an extremely rare variant of retroperitoneal hernias.

The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon. A defect in this structure may allow small bowel herniation into the left paracolic gutter causing medial displacement of the descending colon. Superior ileocecal recess inferior ileocecal recess retrocecal recess and paracolic sulcus. Paracecal hernia due to membranous adhesion of the omentum to the right paracolic gutter.

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. Transomental hernia approximately 1 to 4 of internal hernias occur through defects in the greater omentum. A less obvious medial paracolic gutter may be formed especially on the right side if the colon. The main paracolic gutter lies lateral to the colon on each side.

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