Incarcerated left paraduodenal hernia causing small and large bowel obstruction

Ma, Yi; Ackermann, Travis; Mathew, Mathen K.; Naqash, Niyaz

doi:10.1111/ans.15056

Cited by 3 publications

(4 citation statements)

References 5 publications

(13 reference statements)

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“…We believe that prompt surgery is always necessary, even in asymptomatic cases, due to the high risk of strangulated hernia which represent a fearsome complication with high mortality rate (20–50%). Open repair for PDH remains the most used approach due to the lack of confidence with the laparoscopic emergency approach and the lack of anatomical knowledge of the region 4 . Since the first reported laparoscopic repair of PDH, 5 this approach has been established as the method of choice resulting in a shorter hospital stay and less morbidity.…”

Section: Figmentioning

confidence: 99%

“…Open repair for PDH remains the most used approach due to the lack of confidence with the laparoscopic emergency approach and the lack of anatomical knowledge of the region. 4 Since the first reported laparoscopic repair of PDH, 5 this approach has been established as the method of choice resulting in a shorter hospital stay and less morbidity. Minimally invasive repair is safe and feasible especially when marked bowel distention or bowel necrosis is absent.…”

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confidence: 99%

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Laparoscopic treatment of incarcerated Landzert's hernia

Farrukh

Russo

Percario

et al. 2022

ANZ Journal of Surgery

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A 50-years old woman presented to the Emergency Department after 6 h of abdominal discomfort, pain, bowel distension, nausea and vomiting. She referred acute onset of oppressive pain in left upper quadrant and left flank with painful and tender abdomen. Bowel sounds were present. Rectal examination was unremarkable. Past medical history included hypertension and no previous abdominal surgery. Laboratory tests showed a slight increasing in white blood cell count (10.800/μL) and PCR (15 mg/dL). Computed tomography revealed a cluster of ileal or jejunal loops in the leftupper quadrant (lateral to the ligament of Treitz and posterior to the inferior mesenteric vein (IMV)) with dilated proximal small bowel loops (Fig. 1). The patient was placed in a slight anti-Trendelenburg position with a 10 right rotation. Three operative trocars were used. A laparoscopic exploration confirmed the diagnosis of a left paraduodenal hernia with about 130 cm of viable small bowel incarcerated. As well as adhesyolisis, gentle manoeuvres of traction and counter-traction with atraumatic graspers

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Section: Figmentioning

confidence: 99%

mentioning

confidence: 99%

Laparoscopic treatment of incarcerated Landzert's hernia

Farrukh

Russo

Percario

et al. 2022

ANZ Journal of Surgery

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“…PDH is an abdominal internal hernia formed when an abdominal organ (mostly the small intestine and occasionally the colon 1 ) herniates into the paraduodenal fossa. Herniation of the intestine into the Landzert's fossa forms a left PDH, and herniation into the Waldeyer's fossa forms a right PDH.…”

Section: Figmentioning

confidence: 99%

Acute intestinal obstruction caused by paraduodenal hernia

Tong

Kong

2022

ANZ Journal of Surgery

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Acute intestinal obstruction caused by paraduodenal herniapreviously healthy 50-year-old male presented with persistent abdominal pain and discomfort with nausea and vomiting for 12 h. There was no obvious relief of abdominal pain after vomiting. Antispasmodic treatment was given and the symptoms improved. Abdominal pain occurred again 5 h ago. The abdomen showed softness, tenderness in the left upper, and no rebound pain. The laboratory finding showed that blood glucose was slightly higher, albumin was lower. Coronal reconstruction of computed tomography (CT) showed dilatation of the intestine, which was wrapped into a mass (Fig. 1a, arrow). CT revealed gas store, dilatation and cystic appearance of the left upper abdominal intestine (Fig. 1b-d, arrow). The patient was diagnosed as left paraduodenal hernia. An emergency laparoscopic exploration was subsequently performed.

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“…Plain films are nonspecific albeit the initial imaging technique. They will typically show dilated loops of small bowel as well as air fluid levels, typical of a small bowel obstruction without indication of etiology [17].…”

Section: Introductionmentioning

confidence: 99%

Identification and Repair of Left-Sided Paraduodenal Hernia Using Both Laparoscopic and Robotic Techniques

John¹,

Hsu²,

Matthew³

et al. 2020

Case Reports in Surgery

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Internal hernias are an uncommon cause of small bowel obstruction and present a challenging clinical diagnostic scenario. They result from the abnormal protrusion of an abdominal organ through a peritoneal defect and can cause intermittent obstructive symptoms, diffuse abdominal discomfort, and postprandial pain. Paraduodenal hernias comprise 53% of all internal hernias 1 and occur due to failure of the fixation of either the left or transverse mesocolon to the posterior abdominal wall. Its relative rarity results in mortality between 20 and 50% 2 because of delayed diagnosis and consequent obstruction, strangulation, and bowel ischemia. Our case series describes three patients before and after operative fixation of paraduodenal hernia. Only one of the three was identified by preoperative radiologist interpretation. Subsequent diagnosis and definitive treatment were completed by surgical staff to resolve undiagnosed undulating abdominal pain and obstructive-type symptoms. We further analyze left-sided paraduodenal hernias after laparoscopic and robotic repair to define common symptomatology, typical CT findings, and preferred laparoscopic repair techniques.

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Incarcerated left paraduodenal hernia causing small and large bowel obstruction

Cited by 3 publications

References 5 publications

Laparoscopic treatment of incarcerated Landzert's hernia

Laparoscopic treatment of incarcerated Landzert's hernia

Acute intestinal obstruction caused by paraduodenal hernia

Identification and Repair of Left-Sided Paraduodenal Hernia Using Both Laparoscopic and Robotic Techniques

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