An Unusual Case Report of Acute Abdomen: Strangulated Pericecal Herniation of Sigmoid Colon

Pericecal herniation of bowel is a relatively rare presentation in itself.Sigmoid colon being a content of this herniation is an exceedingly rare occurrence, with only a few case reports published to date.A suspicion of gangrene, and hence the need for immediate surgical intervention, must be considered in rare presentations of a computed tomography (CT)-documented pericecal herniation of sigmoid colon.Laparoscopic and open interventions for pericecal herniation of the small bowel have been carried out and reported in the past.However, strangulation of the pericecally herniated sigmoid warranting a resection has not been reported to date, to the best of our knowledge.We present a case of a 60-year-old male presenting to us with acute abdomen in the emergency department.