{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:05:52Z","timestamp":1753877152936,"version":"3.41.2"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2023,2,7]],"date-time":"2023-02-07T00:00:00Z","timestamp":1675728000000},"content-version":"vor","delay-in-days":6,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Paracecal hernias are a rare form of internal hernias. This is a case of a spontaneous paracecal retroperitoneal hernia in an elderly patient. A 73-year-old male, a known patient of adenocarcinoma of the rectum, who had undergone neoadjuvant radiotherapy and chemotherapy a year ago, presented with a 2-day-history of exacerbated colicky peri-umbilical and right-sided non-radiating abdominal pain, with associated progressive abdominal distension, which were aggravated by feeding. A contrasted abdominal computed tomography scan showed features of small bowel obstruction. An exploratory laparotomy revealed herniation of gangrenous small bowel ~30\u00a0cm through a small, tight opening just below the base of the cecum. Resection and anastomosis and closure of the retroperitoneal pouch were done. Patient recovered and was discharged on the fourth post-operative day. Spontaneous retroperitoneal hernias can occur in elderly patients with additional risk factors like neoplasms, with a high risk of bowel ischemia, hence the urgent need for surgical intervention.<\/jats:p>","DOI":"10.1093\/jscr\/rjad037","type":"journal-article","created":{"date-parts":[[2023,2,7]],"date-time":"2023-02-07T00:41:14Z","timestamp":1675730474000},"source":"Crossref","is-referenced-by-count":0,"title":["A spontaneous paracecal herniation: a rare form of an uncommon case"],"prefix":"10.1093","volume":"2023","author":[{"given":"Bright Anderson","family":"Mwanje","sequence":"first","affiliation":[{"name":"Department of Surgery, Mengo Hospital , Kampala , Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melvin Gloria","family":"Nassaka","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mengo Hospital , Kampala , Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8138-9083","authenticated-orcid":false,"given":"Andrew Marvin","family":"Kanyike","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mengo Hospital , Kampala , Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,2,6]]},"reference":[{"key":"2023020700410426100_ref1","first-page":"20200037","article-title":"A rare jejunum retroperitoneal hernia case report and literature review","volume":"6","author":"Huang","year":"2020","journal-title":"BJR Case Rep"},{"key":"2023020700410426100_ref2","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1007\/s10029-011-0840-y","article-title":"Retroperitoneal hernia following radical cystectomy: case 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