PMC5312641_01
A coronal section of CT scan of the abdomen and pelvis showing multiple dilated small intestine loops in association with collapsed terminal ileum.
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Additionally, collapsed loops of distal ileum were noted (Fig. 1).
A laparoscopic image showing the transition point between the distended and collapsed loops of ileum. Before reducing it, the transition point occupied the lateral paracacecal space through the peritoneal defect.
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Undoubtedly, a loop of ileum had been in the lateral paracaecal sulcus through a 3 centimetres defect in the parietocaecal fold (Fig. 2).
A laparoscopic image showing a peritoneal defect through the parietocaecal fold.
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A diagram showing the locations of the four types of pericaecal hernias: the superior ileocaecal recess (A), inferior ileocaecal recess (B), retrocaecal recess (C) and paracaecal sulcus (D).
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Anatomically, pericaecal hernias can occur in one of the following spaces: the superior ileocaecal recess, inferior ileocaecal recess, retrocaecal recess and paracolic sulci (Fig. 4).