Retro-Appendicular Internal Hernia: A Rare Cause of Small Bowel Obstruction

This case underscores the importance of considering internal hernias in the differential diagnosis of acute abdomen, even in patients without prior abdominal surgery. Awareness of rare anatomical variants such as retro-appendicular hernias is critical, as early surgical exploration can prevent bowel necrosis and reduce morbidity. This report contributes to the limited research literature on retro-appendicular internal hernias and emphasizes the value of maintaining a high index of suspicion in atypical presentations.