Anterior and upward displacement of the inferior mesenteric vein:a new diagnostic clue to left paraduodenal hernias?

Schaffler-Schaden, Dagmar; Groell, Reinhard; Kammerhuber, F; Stacher, R; Hammerl, Randolf; Rabl, Hans; Hoess, G.; Szolar, Dieter

doi:10.1007/s002619900435

Cited by 24 publications

(28 citation statements)

References 8 publications

(9 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…7,9 The inferior mesenteric vein has been reported to show anterior stretching and superior displacement. 8 Other reports have indicated that the hernia sac was between the stomach and pancreas. 5,6,10,11 Our patient, and a patient reported by Hirasaki et al 5 who had a similar case of atypical left paraduodenal hernia, showed circumscribed small intestine between the stomach and pancreas and no anterior and upward displacement of the inferior mesenteric vein.…”

Section: Discussionmentioning

confidence: 98%

“…7,8 Several reports have described the CT findings of left paraduodenal hernia in which oral and/or intravenous contrast media were used. 5,7,8 In one of the typical left paraduodenal hernias, hernia in Landzert's fossa, the small intestine usually bulges retroperitoneally and a circumscribed cluster of small bowel loops is located between the pancreas and the left kidney, behind the stomach. 7,9 The inferior mesenteric vein has been reported to show anterior stretching and superior displacement.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Unusual type of left paraduodenal hernia caused by a separated peritoneal membrane

Nishida

Mizushima

Kitagawa

et al. 2002

Journal of Gastroenterology

View full text Add to dashboard Cite

Internal hernias are an uncommon cause of intestinal obstruction, with left paraduodenal hernia being the most frequent of these. Computed tomography (CT) with contrast media is advantageous for the clinical workup of suspected paraduodenal hernias. Here, we report a case of an unusual paraduodenal sac formed by a peritoneal membrane between the transverse and the descending colon, which entrapped the proximal jejunum, causing intestinal obstruction. Preoperative CT demonstrated a cluster of jejunal loops between the stomach and pancreas, and showed that the inferior mesenteric vein was laterally displaced.

show abstract

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Unusual type of left paraduodenal hernia caused by a separated peritoneal membrane

Nishida

Mizushima

Kitagawa

et al. 2002

Journal of Gastroenterology

View full text Add to dashboard Cite

show abstract

“…1,6 Associated symptoms include nausea and bilious vomiting. 7 Incarceration and strangulation are quite common in the reported cases (66%) due to the low index of suspicion, which might delay the diagnosis and intervention. 1,[8][9][10][11] The physical examination is usually nonrevealing as peritoneal signs are almost never present because the culprit segment is entrapped in the isolated retroperitoneal sac.…”

Section: Discussionmentioning

confidence: 88%

“…1A). 7 Findings on abdominal CT include clustering of small bowel loops in close contact to retroperitoneal organs. When intravenous contrast is used, CT may also demonstrate upward and anterior displacement of the inferior mesenteric vein.…”

Section: Discussionmentioning

confidence: 98%

Laparoscopic Repair of a Left Paraduodenal Hernia Presenting With Acute Bowel Obstruction

Hussein

Khreiss

Al-Helou

et al. 2012

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

View full text Add to dashboard Cite

An internal hernia is any protrusion of a solid organ or a hollow viscus through a defect within the abdominal cavity. Paraduodenal hernias (PDHs) are rare; however, they are the most common form of internal hernias. We present a case of a left PDH in a 59-year-old healthy woman who presented with acute bowel obstruction. The PDH was diagnosed preoperatively using computed tomography scan. Laparoscopic exploration of the abdomen was then performed for reduction of the hernia. Using this approach, we managed to close the defect with intracorporeal continuous suturing with the aim of avoiding future incarceration. The patient was discharged 60 hours postoperation in a good condition, compared with 3 to 28 days postoperation reported in most of the literature. Our search of the english language literature revealed only 16 reported cases of laparoscopic repair of PDH. We believe that laparoscopic treatment of PDH in experienced hands is recommended in selected cases as it decreases the morbidity and significantly shortens the hospital stay.

show abstract

“…Several pathognomonic radiological features of left paraduodenal hernia (LPDH) are visible. ( 5 13 ) A large sac-like mass of clustered small bowel loops can be seen in the left abdomen with a well-circumscribed lateral convex border (A, dotted line). The inferior mesenteric vein runs at the anteromedial border of the hernia, a hallmark of LPDH.…”

Section: Investigationsmentioning

confidence: 99%

Giant left paraduodenal hernia

Cundy¹,

Marco

Hamady

et al. 2014

BMJ Case Reports

View full text Add to dashboard Cite

SUMMARYLeft paraduodenal hernia (LPDH) is a retrocolic internal hernia of congenital origin that develops through the fossa of Landzert, and extends into the descending mesocolon and left portion of the transverse mesocolon. It carries significant overall risk of mortality, yet delay in diagnosis is not unusual due to subtle and elusive features. Familiarisation with the embryological and anatomical features of this rare hernia is essential for surgical management. This is especially important with respect to vascular anatomy as major mesenteric vessels form intimate relationships with the ventral rim and anterior portion of the hernia. As an illustrative case, we describe our experience with a striking example of LPDH, particularly focusing on the inherent diagnostic challenges and associated critical vascular anatomy. We advocate the role of diagnostic laparoscopy; however caution that decision to safely proceed with laparoscopic repair must occur only with confident identification of the vascular anatomy involved. BACKGROUND

show abstract

Anterior and upward displacement of the inferior mesenteric vein:a new diagnostic clue to left paraduodenal hernias?

Cited by 24 publications

References 8 publications

Unusual type of left paraduodenal hernia caused by a separated peritoneal membrane

Unusual type of left paraduodenal hernia caused by a separated peritoneal membrane

Laparoscopic Repair of a Left Paraduodenal Hernia Presenting With Acute Bowel Obstruction

Giant left paraduodenal hernia

Contact Info

Product

Resources

About