Laparoscopic repair of a left paraduodenal hernia

Kulendran, Krish; Keogh, Cian; Chiam, Heng-Chin

doi:10.1111/ans.14172

Cited by 9 publications

(10 citation statements)

References 3 publications

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“…Due to relative rarity of paraduodenal hernias, the identification and repair of PDH is less common in general surgical practice. They have a mean age of diagnosis of 38.5 years [2], with approximately 75% of all occurring on the lefthand side and a 3 : 1 male gender distribution [9]. Typically, patients present with recurrent undiagnosed abdominal pain, postprandial pain, and symptomatology to suggest bowel obstruction or CT evidence of bowel obstruction without prior evidence of surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

“…Patients can be entirely asymptomatic or describe symptoms ranging from intermittent abdominal pain due to spontaneous hernia reduction [8] to an acute abdomen with associated strangulation and bowel necrosis. Only 50% of patients recall previous nonspecific recurrent abdominal pain [9], typically worse after meals and improved with body position [5]. There will be no specific exam or laboratory findings to differentiate PDH from other pathology [10] beyond elevated inflammatory markers typically associated with worsening bowel ischemia.…”

Section: Introductionmentioning

confidence: 99%

“…There will be no specific exam or laboratory findings to differentiate PDH from other pathology [10] beyond elevated inflammatory markers typically associated with worsening bowel ischemia. Mean age at PDH diagnosis is 38.5 years [2], and males are affected three times more frequently than females [9]. The vague presentation of this type of internal hernia requires a high index of suspicion by the surgical team due to poor clinical outcomes from delayed or missed diagnosis [11].…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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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“…Elles se compliquent rarement (0,2-0,9%) par l’incarcération des anses grêles dans la fossette de Landzert entrainant un syndrome occlusif par obstruction intestinale [ 3 , 4 ]. Le diagnostic se fait par le scanner abdominal qui objective une agglutination des anses grêles à gauche de l’angle duodéno jéjunale de Treitz [ 1 , 8 ]. Le traitement est une urgence chirurgicale [ 1 , 3 ].…”

Section: Discussionunclassified

Hernie para duodénale gauche: une cause rare d'occlusion intestinale aigue

Mizouni¹,

Harrabi²,

Farhat³

et al. 2020

Pan Afr Med J

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La hernie para duodénale gauche est une hernie interne congénitale qui se complique rarement par une occlusion intestinale aiguë et qui peut mettre en jeux le pronostic vital par ischémie des anses. Nous rapportons un cas d’un jeune homme de 28 ans pris en charge pour un syndrome occlusif. Le scanner abdominal a objectivé une occlusion intestinale aiguë haute, l’exploration peropératoire a trouvé des anses jéjunales incarcérées dans une hernie para duodénale gauche. Le collet a été fermé et les suites opératoires étaient simples. En conclusion, la hernie para duodénale gauche, est souvent diagnostiquée lors d’une complication, son traitement est chirurgical et préférentiellement par laparoscopie.

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“…About 3 quarters of PDH are left, and the male-tofemale ration is 3:1. Some cases (< 1%) caused small bowel obstruction (2) and more rare cases caused hydronephrosis. It's difficult to make a correct diagnosis of internal hernia and the misdiagnosis may lead to serious outcomes.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Surgery Management of Hydronephrosis Secondary to Left Paraduodenal Hernia in Cryptorchid: Case Report and a Literature Review

Wang

Guan

et al. 2020

Preprint

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Background: Left paraduodenal hernia (PDH) is a mesenterico-parietal hernia with retroperitoneal retrocolic herniation of the small bowel into a sac formed by a peritoneal fold located near the fourth portion of the duodenum. It’s a rare cause of hydronephrosis by compressed the upper left ureter. Traditionally, PDH are treated by laparotomy.Case presentation: An 8-year-old boy’s primary purpose was the treatment of cryptorchidism. But hydronephrosis was detected and it was induced by left paraduodenal hernia. Diagnostic laparoscopic exploration confirmed the diagnosis left paraduodenal hernia secondary hydronephrosis. Cryptorchidism was the primary purpose of treatment. The patient was treated with laparoscopic surgery, fixed left paraduodenal hernia, released the ureteropelvic junction obstruction (UPJO) and treated hydronephrosis.Conclusion: Secondary surgery for treating cryptorchidism would be performed and the long-term follow up was necessary.This case suggests us a rare cause of hydronephrosis in children. Every why has a wherefore. We must pay much attention to any unusual details in our medical work even though these details aren’t related to our primary objects.

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Laparoscopic repair of a left paraduodenal hernia

Cited by 9 publications

References 3 publications

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

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

Hernie para duodénale gauche: une cause rare d'occlusion intestinale aigue

Laparoscopic Surgery Management of Hydronephrosis Secondary to Left Paraduodenal Hernia in Cryptorchid: Case Report and a Literature Review

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