Paracolic Gutter Hernia

Paracecal hernia due to membranous adhesion of the omentum to the right paracolic gutter abstract.

Paracolic gutter hernia.

Paracecal hernias have a type of membranous adhesion of the omentum to the right paracolic gutter. The main paracolic gutter lies lateral to the colon on each side. Pericaecal hernia is a rare type of internal hernia. Surgeons should be aware of this paracecal hernia type when they encounter the internal hernia.

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. Superior ileocecal recess inferior ileocecal recess retrocecal recess and paracolic sulcus. 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. Paracecal hernia due to membranous adhesion of the omentum to the right paracolic gutter.

A defect in this structure may allow small bowel herniation into the left paracolic gutter causing medial displacement of the descending colon. Transomental hernia approximately 1 to 4 of internal hernias occur through defects in the greater omentum. The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon. Paracecal hernias also known as pericecal hernias are an exceptionally rare type of internal hernia.

Our finding represents an extremely rare variant of retroperitoneal hernias. The left medial paracolic gutter. A less obvious medial paracolic gutter may be formed especially on the right side if the colon. Clinical presentation clinical symptoms are often characterized by episodes of intense lower abdominal pain like a co.

Internal hernias are an infrequent cause of small bowel obstruction 1. We describe this case including its imaging features. A pericecal hernia is a typical form of internal hernia and can be divided into 4 types.