A case of a paraduodenal hernia

Downes, Ross O.; Cawich, Shamir O

doi:10.1016/j.ijscr.2010.06.003

Cited by 14 publications

(22 citation statements)

References 8 publications

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“… 2 Paraduodenal hernias have a three times higher chance of occurring in the left paraduodenal fossa than on the right, and these hernias are more likely to occur in men. 3 Most patients who present with a paraduodenal hernia are in the 4th to 5th decades of life. 3 Presentation of the hernia can vary depending on the severity of the hernia sequelae.…”

Section: Discussionmentioning

confidence: 99%

“… 3 Most patients who present with a paraduodenal hernia are in the 4th to 5th decades of life. 3 Presentation of the hernia can vary depending on the severity of the hernia sequelae. The patient can be asymptomatic with negative physical exam findings or can present with a chronic intermittent abdominal pain.…”

Section: Discussionmentioning

confidence: 99%

“…The patient can be asymptomatic with negative physical exam findings or can present with a chronic intermittent abdominal pain. 3 The patient can present with acute intestinal obstruction secondary to the hernia and possibly positive physical exam findings. 3 …”

Section: Discussionmentioning

confidence: 99%

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Paraduodenal herniation: An internal herniation in a virgin abdomen

Kabbani

Salem

Holloway

2014

International Journal of Surgery Case Reports

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HighlightsA paraduodenal hernia is an uncommon hernia that results from an abnormal rotation of the midgut.Early diagnosis is imperative in order to avoid bowel ischemia, which is associated with high mortality.We present a case of a left-sided paraduodenal hernia in a virgin abdomen with a herniation of a loop of jejunum through a defect of the posterior portion of the ligament of Treitz.Treatment includes exploratory laparotomy, repair and reduction of the hernia, and laparoscopic repair.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Paraduodenal herniation: An internal herniation in a virgin abdomen

Kabbani

Salem

Holloway

2014

International Journal of Surgery Case Reports

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“…Although a barium study may suggest the existence of a right-sided PH by demonstrating an anomalous conglomeration of jejunal loops in the right quadrant, often displacing the adjacent organs such as the colon and SMA, CT is the most reliable procedure for preoperative diagnosis (9,10). There is an associated risk of strangulation and intestinal infarction for more than 50 % over the course of a lifetime, making it necessary to investigate radiological signs of hypoperfusion and intestinal ischemia (6). The high rate of mortality associated with these complications make early identification indispensable and justifies the role of abdominal CT in the early preoperative diagnosis of PH.…”

Section: Discussionmentioning

confidence: 99%

Right-sided paraduodenal hernia: Rare cause of recurrent abdominal pain

Martín-Lagos-Maldonado

Ruiz-Escolano

Martínez-Tirado³

et al. 2013

Rev. esp. enferm. dig.

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“…There are many reports in the literature of left PDH, although the total number of reported cases is less than 500 (12). The approach of minimally invasive techniques for hernia is relatively new; the first successful laparoscopic repair of PDH was reported by Uematsu in 1998 (7).…”

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confidence: 99%

A case report of left paraduodenal hernia diagnosed preoperatively and treated laparoscopically

et al. 2018

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Paraduodenal hernia is a rare congenital anomaly; however, it is the most common cause of internal herniation. Clinical findings are often indeterminate. Computerized tomography is usually diagnostic; however, the diagnosis is often made intra-operatively. Paraduodenal hernia carries a risk of incarceration leading to bowel obstruction and strangulation; therefore, it should be repaired surgically when diagnosed. Here we present a case of left PDH that was diagnosed preoperatively and repaired laparoscopically.Keywords: Laparoscopy, paraduodenal, hernia INTRODUCTIONInternal hernias result from the extension of the intestine through a defect within the peritoneum or mesentery (1). They may be either congenital or acquired. Paraduodenal hernia (PDH) is a rare congenital anomaly that results from an error of rotation of the midgut (2). PDHs are the most common form of internal hernias, accounting for 53% of all internal hernias (1, 3). PDHs are difficult to diagnose because the clinical symptoms are variable (4). PDH can begin with symptoms of acute obstruction or recurring abdominal pain (43%) or can be asymptomatic throughout the patient's life. Between 10% and 50% of internal hernias are discovered during unrelated abdominal surgeries or imaging exams and autopsy (5). Preoperative computerized tomography scan of the abdomen is usually diagnostic; however, the diagnosis is often made intra-operatively. Surgical treatment can be performed with traditional open methods or minimally invasive laparoscopic techniques. We describe herein the preoperative radiological diagnosis and successful laparoscopic repair of a left PDH in an adult man. CASE PRESENTATIONA 39-year-old man was admitted to the emergency department with complaints of epigastric cramps and nausea and vomiting that persisted for almost one day. It was known that he had been suffering from similar problems for a long time, and he had applied to 3 different hospitals in the last 10 days. There was no specific finding except for upper left quadrant tenderness. He had no history of abdominal surgery. His vital signs were normal. On his plain abdominal film, vague and limited air-fluid levels and a mass-like lesion were found in the left quadrants. Laboratory results were normal, except his leukocyte count was 11600. He was hospitalized for follow-up. It was noticed that he was comfortable while resting on his left side; however, his pain worsened in the supine position. Encapsulated and moderately dilated small bowel loops were detected in the upper left quadrant between the stomach and pancreas by CT (Figure 1). He was preoperatively diagnosed with left PDH. Four ports were inserted; one 10 mm supraumblical port for the camera, another port 10 mm from the upper left quadrant, and two 5 mm ports in the upper right quadrant. During exploration, left PDH was observed on the left side of Treitz's ligament behind the inferior mesenteric vein. An entrapped jejunum loop of approximately 80 cm was then reduced from the hernia sac into the abdominal cavity with an ...

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A case of a paraduodenal hernia

Cited by 14 publications

References 8 publications

Paraduodenal herniation: An internal herniation in a virgin abdomen

Paraduodenal herniation: An internal herniation in a virgin abdomen

Right-sided paraduodenal hernia: Rare cause of recurrent abdominal pain

A case report of left paraduodenal hernia diagnosed preoperatively and treated laparoscopically

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