 |
|
Case Report
| ||||||
| A rare case report of acquired pericecal hernia complicating gastrointestinal endoscopy: Multidetector computed tomography findings revisited | ||||||
| Mohamed Ragab Nouh1, Ahmed Bassim Doma2, Mohamed Ahmed Yousef Elshazly3, Elsanousi Ibrahim Sabir4 | ||||||
|
1Department of Radiology, Faculty of Medicine, Alexandria University, Armed Force Hospital, King Abdualaziz Airbase, Dhahran, Kingdom of Saudi Arabia
2Department of Radiology, Armed Force Hospital, King Abdualziz Airbase, Dhahran, Kingdom of Saudi Arabia 3Department of Radiology, Faculty of Medicine, Al-Azhar University, Armed Force Hospital, King Abdualziz Airbase, Dhahran, Kingdom of Saudi Arabia 4Department of Surgery, Armed Force Hospital, King Abdualziz Airbase, Dhahran, Kingdom of Saudi Arabia | ||||||
| ||||||
|
[HTML Full Text]
[PDF Full Text]
[Print This Article] [Similar article in Pumed] [Similar article in Google Scholar] |
| How to cite this article |
| Nouh MR, Doma AB, Elshazly MAY, Sabir EI. A rare case report of acquired pericecal hernia complicating gastrointestinal endoscopy: Multidetector computed tomography findings revisited. Edorium J Radiol 2018;4:1–5. |
|
ABSTRACT
|
|
Introduction:
Internal hernia is an infrequent cause of intestinal obstruction. It represents a diagnostic challenge to both clinicians and radiologists. Recognizing internal hernia as an underlying cause of intestinal obstruction is both challenging and critical to avoid associated morbidities. Currently, multidetector computed tomography (MDCT) is pivotal in the diagnostic workup of acute abdomen, especially those cases presented by intestinal obstruction.
Case Report: A 69-year-old male was presented with acute abdominal pain and distension following combined upper and lower gastrointestinal screening endoscopy done to investigate recurrent nausea, dyspepsia and episodic vomiting. His medical history was relevant only for a previous appendectomy thirty years ago. Physical examination revealed abdominal distension, right iliac fossa tenderness and hyperactive bowel sounds and a provisional diagnosis of intestinal obstruction was instituted. Plain radiography showed no significant air-fluid levels while contrast-enhanced computed tomography of the abdomen revealed locally crowded fluid-filled dilated ileal segments within the right lower abdominal quadrant with a thin rim of reactive intra-peritoneal fluid collection detected between these dilated loops. A peaking transitional zone was noticed just proximal and distal to these dilated fluid-filled segments and coronal reformatted images depicted C-shaped dilated ileal loop lateral to the displaced cecum. So, a closed loop small bowel obstruction (CL-SBO) was presumptively diagnosed. Conclusion: Post-appendicectomy adhesions may result in acquired potential peri-cecal recesses which can result in SBO. Cecal displacement, mesenteric vascular distortion and imaging signs of closed-loop SBO on MDCT should alert the interpreting radiologist to the possibility of pericecal hernia as an underlying cause. | |
|
Keywords:
Closed-loop, Hernia, Internal, Pericecal, Small Bowel Obstruction
| |
|
[HTML Full Text]
[PDF Full Text]
|
|
Author Contributions
Mohamed Ragab Nouh – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Ahmed Bassim Doma – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Mohamed Ahmed Yousef Elshazly – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Elsanousi Ibrahim Sabir – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
|
Guarantor of Submission
The corresponding author is the guarantor of submission. |
|
Source of Support
None |
|
Conflict of Interest
Authors declare no conflict of interest. |
|
Copyright
© 2018 Mohamed Ragab Nouh et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
|
|