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Gangrenous Appendicitis: A Rare Presentation of Pericecal Hernia; Case Report and Review of the Literature | ||
| Bulletin of Emergency And Trauma | ||
| مقاله 7، دوره 3، Issue 4، دی 2015، صفحه 144-147 اصل مقاله (1.14 M) | ||
| نوع مقاله: Case Report | ||
| نویسندگان | ||
| Shailesh Kumar* 1؛ Priyadarshi Dikshit2؛ Shubhendu Bhaduri2؛ Swati Sattavan3 | ||
| 1Professor, Department of General Surgery, PGIMER & Dr. RML Hospital, New Delhi 1, India | ||
| 2Resident, Department of General Surgery, PGIMER & Dr. RML Hospital, New Delhi 1, India | ||
| 3Senior Resident, Department of General Surgery, PGIMER & Dr. RML Hospital, New Delhi 1, India | ||
| چکیده | ||
| Intra-abdominal Hernias are rare conditions usually secondary to congenital defects, with pericecal hernias accounting for a minority of them. They can be difficult to diagnose due to non-specific presentations but may lead to strangulation and thus require early management. We herein report a rare case of pericecal hernia with gangrenous appendicitis in an 88 year-old lady presenting with features of acute intestinal obstruction and right iliac fossa lump, which on exploration was found to be a pericecal hernia with knotting, strangulation, and gangrenous changes of appendix. This case highlights the need of a high index of suspicion for internal hernias and that of prompt operative intervention to avoid enterectomies and to improve outcome. | ||
| کلیدواژهها | ||
| Pericecal hernia؛ Appendicitis؛ Internal hernia؛ Acute abdomen | ||
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