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  Global Journal of Surgery. Volume 1, Issue 1 (2010) pp. 70-72
  Research Article
Intestinal obstruction due to internal hernia through superior ileocaecal fossa: An exceptional rarity
  SK Deshpande, Amit Kumar Shah*, Sanjay Datta and DK Khare  
Department of Surgery, 158 Base Hospital, PIN – 900326 C/O 99 APO, India
  The superior and inferior ileocaecal folds form the ileocaecal fossae . Internal hernia is a rare condition that causes a small fraction of small-bowel obstructions, ranging from 0.6% to 5.8%, and is rarely diagnosed preoperatively because of the lack of specific signs and symptoms or imaging characteristics. Here we report a case of 33 year old male who had presented with three days of complete intestinal obstruction. On exploration we found a segment of ileal loop which had herniated into the superior ileocaecal fossae causing a complete obstruction of the herniated loop. A timely exploration and reduction of the herniated bowel loop with repair of the defect resulted in complete recovery of the patient. The internal abdominal hernias are extremely rare and only diagnosed on exploration or autopsy. The delay in diagnosis or intervention may result in strangulation of the bowel which may prove to be lethal.
  Acute Intestinal Obstruction; Internal Hernia; Ileocaecal fossae; Small Bowel Obstruction  

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