Strangulated Caecum, Appendix, and Terminal Ileum in Paraumbilical Hernia: An Unusual Presentation in the Elderly

A common surgical condition caused by inadequate closure of the embryonic umbilical defect is an umbilical hernia. The paraumbilical hernia sac usually contains the omentum and bowel loop, although the caecum is infrequently present. The rare incidence of the caecum being present in the paraumbilical hernial sac is described in a few case reports in the literature. In this article, we'd like to discuss a case of a 71-year-old woman who presented with a paraumbilical hernia with strangulated caecum, appendix, and terminal ileum. Right hemicolectomy, end ileostomy, and transverse colon mucus fistula have been performed with uneventful recovery achieved.