Primary pericecal internal hernia presenting as acute intestinal obstruction

Abstract

Abstract Internal hernias are rare cause of intestinal obstruction. In adults important causes of internal hernia are previous abdominal surgery, trauma or peritoneal inflammation. Primary internal hernia in adults is extremely rare. Non-specific presentation, limited utility and expertise in imaging pose a challenge in pre-operative diagnosis. High index of suspicion and early intervention to prevent morbidity and mortality are necessary. We report a case of previously healthy 76-year-old male patient presenting with acute intestinal obstruction and who was later diagnosed with primary pericecal internal hernia on exploratory laparotomy. Hernial gate was located along right paracolic gutter around one foot from ileocecal junction.