Intestinal obstruction due to a left paraduodenal hernia: a case report

Bouchentouf, Sidi Mohammed; Raissouni, F.; Kaoui, Hakim El; Bourazza, Ahmed; Jidal, M.; Ali, Abdelmounaim Ait; Zentar, Aziz; Sair, Khalid

doi:10.1186/1752-1947-7-272

Cited by 9 publications

(7 citation statements)

References 6 publications

(8 reference statements)

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“…Intestinal obstruction secondary to an internal hernia is a rare entity; however, delayed diagnosis and surgical intervention may result in significant morbidity and mortality [ 2 , 4 , 6 ]. Therefore, in accordance with the above-noted literature and the surgical and clinical success of this case, it is important to include a paraduodenal hernia in the differential diagnosis of a patient presenting with small bowel obstruction and no history of abdominal surgery [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Intestinal obstruction secondary to left paraduodenal hernia

Gusz

Wright

2015

J. surg. case rep.

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An internal hernia—congenital or acquired—is a protrusion of bowel through an opening in the peritoneum or mesentery. Internal hernias are the etiology of <2% of intestinal obstructions, with paraduodenal hernias being the most common type of congenital internal hernia. We report a case of a left paraduodenal hernia (LPDH) combined with partial small bowel obstruction in a 69-year-old male with recurrent abdominal pain of 2 years duration and no previous abdominal surgeries. An abdominal computed tomography scan showed an agglomeration of small bowel loops in the left upper quadrant but failed to yield a clear diagnosis. Surgical intervention provided definitive diagnosis and treatment of the LPDH. We additionally review the literature regarding anatomy, pathogenesis, diagnosis and treatment of this uncommon hernia. Intestinal obstruction secondary to an internal hernia is a rare entity; however, delayed diagnosis and surgical intervention may result in significant morbidity and mortality.

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Section: Discussionmentioning

confidence: 99%

Intestinal obstruction secondary to left paraduodenal hernia

Gusz

Wright

2015

J. surg. case rep.

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“…Surgical correction of paraduodenal hernia consists of a reduction of the small bowel and closure of the hernial opening [4]. An alternative approach is widening the hernial opening and dividing the inferior mesenteric vessels [7,14]. The laparoscopic approach has advantages over the open approach, including less postoperative pain, more rapid postoperative mobilization, a small surgical scar, shorter hospital stay, and reduced postoperative morbidity [3,8].…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Small Bowel Obstruction Due to Paraduodenal Hernia

et al. 2019

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Patient: Female, 24Final Diagnosis: Paraduodenal herniaSymptoms: Abdominal pain • Bowel obstructionMedication: —Clinical Procedure: Surgical excision of the sac and release of adhesionSpecialty: SurgeryObjective:Challenging differential diagnosisBackground:Paraduodenal hernia, or mesocolic hernia, is a rare congenital form of internal abdominal hernia, and is classified into right and left, with left paraduodenal hernia being more common than right. Patients can have non-specific symptoms and signs, which make the diagnosis challenging. However, patients may present with obstruction or ischemia requiring emergency surgery. This report is of a case of left paraduodenal hernia in a 24-year-old woman who presented with acute abdominal pain at two-weeks post-partum and who was managed with open surgery with good clinical outcome.Case Report:A 24-year-old Saudi woman presented with recurrent chronic abdominal pain that was managed conservatively for the previous six years. At two-weeks post-partum, she presented with acute abdominal pain, vomiting, and constipation. Computed tomography (CT) of the abdomen showed a left paraduodenal hernia. The patient underwent timely open laparotomy due to the presence of bowel dilatation. Her postoperative recovery was uneventful.Conclusions:Although rare, this case has shown that paraduodenal hernia can cause intestinal obstruction. CT imaging increases the chance of early diagnosis and timely surgery. Although laparoscopic surgical repair may be preferable in some cases, this patient underwent successful open repair.

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“…Loops of bowels interposed between the attachment of messentary and posterior abdominal wall. 7 This is bounded anteriorly by the IMV and ascending left colic artery and laterally by fourth part of the duodenum. 3,5,8 The fossa of Landzert is seen in 2% of autopsy.…”

Section: Discussionmentioning

confidence: 99%

Left paraduodenal hernia causing acute bowel obstruction: report of a case and review of literature

Hemanth

2014

Int Surg J

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Internal hernia is a protrusion of viscera or a part of it through a normal or abnormal peritoneum or mesenteric aperture and into a compartment of the abdominal cavity. This condition is difficult to diagnose preoperatively because of its non-specific presentation. It may remain silent or present as severe acute intestinal obstruction. Paraduodenal hernias are common type of internal abdominal hernia accounting to 53% and the majority of it (75%) is of left sided. Imaging study especially contrast-enhanced computed tomography abdomen during a symptomatic episode can make a diagnosis preoperatively. We report a case of 24 year male with left paraduodenal hernia presenting with acute intestinal obstruction.

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Intestinal obstruction due to a left paraduodenal hernia: a case report

Cited by 9 publications

References 6 publications

Intestinal obstruction secondary to left paraduodenal hernia

Intestinal obstruction secondary to left paraduodenal hernia

A Rare Case of Small Bowel Obstruction Due to Paraduodenal Hernia

Left paraduodenal hernia causing acute bowel obstruction: report of a case and review of literature

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