Congenital Left Paraduodenal Hernia: Report of a Case
Main Article Content
Abstract
Introduction. Internal hernias represent the protrusion of intestinal loops through congenital or acquired openings into the mesentery or peritoneum. One such hernia is the paraduodenal hernia, which is the most common type of internal hernia (53%). Due to the variable and non-specific clinical presentation, the preoperative diagnosis of these hernias is difficult. Despite the available studies, they generally present with intestinal occlusion, making their diagnosis during laparoscopy or laparotomy. Preoperative abdominal computed tomography facilitates diagnosis and timely surgical intervention [3].
Case presentation. This paper presents the case of a 19-year-old male patient with left paraduodenal hernia. He came to the emergency room with severe abdominal pain. Diagnosis was established by computed tomography and a converted surgical procedure was successfully performed.
Discussion: Acute intestinal obstruction caused by a left paraduodenal hernia is a rare cause of intestinal obstruction.
Conclusion. The patient underwent an exploratory laparotomy and it was found that the herniated intestine was viable, for which it was decided to reduce it and close the defect, obtaining good clinical results in the patient.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
I. Kadhem S, Ali MH, Al-Dera FH, Alzayer NA, Alyagoub HM. Left paraduodenal hernia: case report of rare cause of recurrent abdominal pain. Cureus. 2020; 12:e7156.
II. Kabbani D, Salem A, Holloway DK. Paraduodenal herniation: an internal herniation in a virgin abdomen. Int J Surg Case Rep. 2014; 5:1148-1150.
III. Manojlovi ́D, Nenad C, Palinka M. Left paraduodenal hernia – A diagnostic challenge: Case report; 2021.https://doi.org/10.1016/j.ijscr.2021.106138.
IV. Wakabayashi M, Kono S, Takahashi T. Laparoscopic repair of acute small bowel obstruction due to left paraduodenal hernia: A case report. Int J Surg Case Rep. 2018; 51: 194-199.
V. RA Brigham, WF Fallon, JR Saunders, et al., Paraduodenal hernia: diagnosis and surgical management, Surgery 96 (1984) 498–502 .
VI. Schizas D, Apostolou K, Krivan S, Kanavidis P, Katsaros I, Vailas M, Koutelidakis I, Chatzimavroudis G, Pikoulis E. Paraduodenal hernias: a systematic review of the literature. Hernia. 2019 Dec;23(6):1187-1197. doi: 10.1007/s10029-019-01947-3. Epub 2019 Apr 20. PMID: 31006063.