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Retrocecal hernia with small bowel obstruction: a review of literature
  1. Naveen Pentakota,
  2. Kishore Abuji,
  3. Venkata Vineeth Vaddavalli and
  4. Yashwant Sakaray
  1. General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Dr Yashwant Sakaray; sakaraypgi{at}


Retrocecal hernia, a type of internal hernia, is a rare cause of small bowel obstruction. It can come as a surprise to the operating surgeon if not diagnosed preoperatively. We hereby report a case of retrocecal hernia presenting with small bowel obstruction. A man in his early 60s presented to the emergency department with recurrent episodes of vomiting associated with abdominal pain for 3 days and the inability to pass flatus for 1 day. Preoperative imaging revealed multiple air-fluid levels with a transition point in the terminal ileum suggestive of small bowel obstruction. After adequate resuscitation, emergency laparotomy was performed, and intraoperatively, herniated ileal loop through a retrocecal defect was identified as a cause of obstruction. Herniated ileal loop was reduced, followed by the closure of the defect and cecopexy. The postoperative course was uneventful, and the patient was discharged in a stable condition. He was asymptomatic on follow-up.

  • gastrointestinal system
  • small intestine

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  • Contributors NP: original draft, writing-review and editing; KA: review and editing; VVV: review and editing; YS: conceptualisation, review and editing.

  • 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.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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