Abstract
Internal hernia is a protrusion of the viscus or part of the viscus through a peritoneal or mesenteric aperture. It can be due to birth defects, trauma, surgical intervention, inammatory conditions, and raised intra-abdominal pressure. The most common internal hernia is paraduodenal hernia, followed by paracecal hernia. In paediatric age groups, internal hernias are found to be more prevalent as compared to adults. Hence, primary internal hernia is the rarest nding in adults. Clinical diagnosis is next to impossible as it may present either with an acute abdomen or with clinical signs of intestinal obstruction. Computed tomography guides us towards making the diagnosis.Here, we present a case of a 20-year old lady with an acute abdomen and who was getting treatment in the line of renal calculi. Computed tomography helped in the planning of surgery. Intraoperatively clumped ileal loops in the right iliac fossa enclosed within a hernial sac lying around the caecum are found, and further exploration reveals that the patient does not have an omentum.
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