Laparoscopic surgery for diagnosis and treatment of bowel obstruction: Case report of paracecal hernia
Takahisa Hirokawa, Tetsushi Hayakawa, Moritsugu Tanaka, Hirozumi Sawai, Yuji Okada, Hiromitsu Takeyama, Tadao Manabe
Med Sci Monit 2007; 13(7): CS79-82
Small bowel obstruction cased by paracecal hernia is rare, and the condition is difficult to diagnose preoperatively. We herein report a case of paracecal hernia that was successfully diagnosed and treated with laparoscopic surgery.
A 74-year-old man admitted our hospital. His previous medical history included appendectomy and diabetes. He had abdominal distension with slight tenderness. Abdominal image examinations gave the appearance of a small bowel obstruction. An emergency operation was performed due to the fear of strangulation. We diagnosed the paracecal hernia with laparoscopy and treated it with a mini-laparotomy. After the operation he was discharged without complications. Using the laparoscopic technique we were able to undergo a minimally invasive treatment, and the patient continues to do well.
This case suggests that the laparoscopic technique is useful for diagnosing and treatment of bowel obstructions.
Keywords: Adult, Aged, 80 and over, Appendectomy, Child, Hernia, Abdominal - surgery, Intestinal Obstruction - surgery, Intestine, Small - radiography, Intestines - radiography, Laparoscopy - methods, Tomography, X-Ray Computed - methods