Paracolic Gutter Hernia

A less obvious medial paracolic gutter may be formed especially on the right side if the colon.

Paracolic gutter hernia.

Transomental hernia approximately 1 to 4 of internal hernias occur through defects in the greater omentum. Clinical presentation clinical symptoms are often characterized by episodes of intense lower abdominal pain like a co. The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon. A defect in this structure may allow small bowel herniation into the left paracolic gutter causing medial displacement of the descending colon.

Paracecal hernias have a type of membranous adhesion of the omentum to the right paracolic gutter. Protrusion of the gut through the peritoneum mesentery or omentum into a compartment in the abdominal cavity the hernia orifice is usually a preexisting foramen recess and fossa but can be caused by surgery ischemia and trauma. We describe this case including its imaging features. Surgeons should be aware of this paracecal hernia type when they encounter the internal hernia.

The segment of intestine was reduced and the hernial defect was closed. Epidemiology it accounts for only 6 13 of internal abdominal hernias. Our finding represents an extremely rare variant of retroperitoneal hernias. Superior ileocecal recess inferior ileocecal recess retrocecal recess and paracolic sulcus.

Paracecal hernia due to membranous adhesion of the omentum to the right paracolic gutter abstract. Internal hernias are an infrequent cause of small bowel obstruction 1. The main paracolic gutter lies lateral to the colon on each side. 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. The left medial paracolic gutter. Paracecal hernias also known as pericecal hernias are an exceptionally rare type of internal hernia.