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Closed loop small bowel obstruction due to paracaecal internal herniation: a lesson in rarity
  1. Richard Menezes1,
  2. Ranjeet Kamble1,
  3. Anagha Joshi2 and
  4. Kalpesh Chaudhari1
  1. 1 Department of General Surgery, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India
  2. 2 Department of Radiodiagnosis, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India
  1. Correspondence to Dr Richard Menezes, richard.menezes2{at}


A 40-year-old man presented to the emergency department of our tertiary hospital with acute abdominal pain since 1 day, which responded to conservative measures initially. On further investigation and abdominal CT, he was diagnosed with closed loop small bowel obstruction with an encapsulated lesion with small bowel loops within, in the right iliac fossa, which was initially missed. On exploration, the patient had a sac in the right iliac fossa (paracaecal incarcerated internal hernia) with distended bowel loops within, the sac was excised after reduction of the contents. Postoperative recovery was uneventful.

  • general surgery
  • gastrointestinal surgery
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  • Contributors Planning, conduct, reporting, conception and design, acquisition of data: RM. Analysis and interpretation of data: RM, RK, AJ, KC. Patient management: RM, RK, KC.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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