A Cause of Acute Abdomen that Should not be Neglected: Left Paraduodenal Hernia

Abstract

Left paraduodenal hernia (LPH) is a congenital condition which develops as a result of abnormal rotation of the midgut. Generally, small intestines are wedged into the hernial sac leading to symptoms of ileus. In neglected cases, necrosis may be present and these cases may progress to fatal outcomes. In this article, we present a case of LPH which was detected on computed tomography in a patient admitted to the emergency department at our hospital with the complaints of abdominal pain who had no history of previous surgery. In laparotomy, jejunal and ileal segments which were inside the hernial sac were removed back to the abdominal cavity. The defect in the patient without any sign of necrosis was closed primarily. Keywords: Left paraduodenal hernia, acute abdomen, internal hernia, intestinal obstructionSol paraduodenal herni (SPH) orta barsağın anormal rotasyonu nedeniyle oluşan konjenital bir durumdur. Herni kesesi içerisinde genelde ince barsaklar bulunmakta ve ileus semptomlarına sebep olmaktadır. Gecikmiş olgularda nekroz görülebilir ve bu olgular ölümcül seyredebilir. Biz bu yazıda hastanemiz acil servisine karın ağrısı şikayeti ile gelen ve geçirilmiş operasyon öyküsü olmayan hastada bilgisayarlı tomografide de tespit edilen SPH olgusunu takdim ettik. Laparotomide herni kesesi içerisindeki jejunal ve ileal segmentler batın içerisine alındı. Nekroz bulgusu olmayan hastada defekt primer olarak tamir edildi.