Paracolic Gutter Hernia

Clinical presentation clinical symptoms are often characterized by episodes of intense lower abdominal pain like a co.

Paracolic gutter hernia.

Superior ileocecal recess inferior ileocecal recess retrocecal recess and paracolic sulcus. Protrusion of the gut through the peritoneum mesentery or omentum into a compartment in the abdominal cavity the hernia orifice is usually a preexisting foramen recess and fossa but can be caused by surgery ischemia and trauma. Paracecal hernias have a type of membranous adhesion of the omentum to the right paracolic gutter. A less obvious medial paracolic gutter may be formed especially on the right side if the colon.

The segment of intestine was reduced and the hernial defect was closed. A pericecal hernia is a typical form of internal hernia and can be divided into 4 types. The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon. Epidemiology it accounts for only 6 13 of internal abdominal hernias.

The main paracolic gutter lies lateral to the colon on each side. Transomental hernia approximately 1 to 4 of internal hernias occur through defects in the greater omentum. A defect in this structure may allow small bowel herniation into the left paracolic gutter causing medial displacement of the descending colon. 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.

Paracecal hernia due to membranous adhesion of the omentum to the right paracolic gutter abstract. Our finding represents an extremely rare variant of retroperitoneal hernias. Internal hernias are an infrequent cause of small bowel obstruction 1. Paracecal hernia due to membranous adhesion of the omentum to the right paracolic gutter.

Surgeons should be aware of this paracecal hernia type when they encounter the internal hernia. 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. The left medial paracolic gutter.