Paracolic Gutter Hernia

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

Paracolic gutter hernia.

2 although our case displayed similar features to the paracolic sulcus type of pericecal hernia it differed from a pericecal hernia in that the hernia gate was located along the right paracolic gutter near the hepatic flexure. Surgeons should be aware of this paracecal hernia type when they encounter the internal hernia. We describe this case including its imaging features. The main paracolic gutter lies lateral to the colon on each side.

The segment of intestine was reduced and the hernial defect was closed. Our finding represents an extremely rare variant of retroperitoneal hernias. A defect in this structure may allow small bowel herniation into the left paracolic gutter causing medial displacement of the descending colon. Transomental hernia approximately 1 to 4 of internal hernias occur through defects in the greater omentum.

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. Pericaecal hernia is a rare type of internal hernia. Paracecal hernias also known as pericecal hernias are an exceptionally rare type of internal hernia. Superior ileocecal recess inferior ileocecal recess retrocecal recess and paracolic sulcus.

The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon. Epidemiology it accounts for only 6 13 of internal abdominal hernias. Paracecal hernia due to membranous adhesion of the omentum to the right paracolic gutter abstract. The left medial paracolic gutter.

Clinical presentation clinical symptoms are often characterized by episodes of intense lower abdominal pain like a co. Paracecal hernia due to membranous adhesion of the omentum to the right paracolic gutter. A pericecal hernia is a typical form of internal hernia and can be divided into 4 types.