Laparoscopic surgery for diagnosis and treatment of bowel obstruction: case report of paracecal hernia.

Abstract:

BACKGROUND: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. CASE REPORT: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. CONCLUSIONS:This case suggests that the laparoscopic technique is useful for diagnosing and treatment of bowel obstructions.

journal_name

Med Sci Monit

authors

Hirokawa T,Hayakawa T,Tanaka M,Okada Y,Sawai H,Takeyama H,Manabe T

subject

Has Abstract

pub_date

2007-07-01 00:00:00

pages

CS79-82

issue

7

eissn

1234-1010

issn

1643-3750

pii

487396

journal_volume

13

pub_type

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