Left Paraduodenal Hernia in a Young Patient with Recurrent Abdominal Pain: A Case Report and Short Literature Review

A late presentation of a left paraduodenal hernia in an elderly patient admitted in emergency: A case report

“…They are the most common type of IHs and they are usually divided into two main groups: the right (RPDH) and left LPDH paraduodenal hernia [ 2 – 13 , 16 ]. The LPDH is the most frequent with the HO typically occurring at the level of the Landzert fossa [ 2 , 5 , 11 ]. The Landzert fossa is an unusual peritoneal defect, present in 2% of the population, and located lateral to the fourth part of the duodenum, posterior to the IMV and the ascending branch of the ascending left colic artery (LCA) [ 2 , 11 , 16 ].…”

“…The LPDH is the most frequent with the HO typically occurring at the level of the Landzert fossa [ 2 , 5 , 11 ]. The Landzert fossa is an unusual peritoneal defect, present in 2% of the population, and located lateral to the fourth part of the duodenum, posterior to the IMV and the ascending branch of the ascending left colic artery (LCA) [ 2 , 11 , 16 ]. It also extends behind the descending mesocolon [ 2 , 11 , 16 – 19 ].…”

“…The Landzert fossa is an unusual peritoneal defect, present in 2% of the population, and located lateral to the fourth part of the duodenum, posterior to the IMV and the ascending branch of the ascending left colic artery (LCA) [ 2 , 11 , 16 ]. It also extends behind the descending mesocolon [ 2 , 11 , 16 – 19 ]. This anatomical region is the crossroad between the descending mesocolon, transverse mesocolon, and small bowel mesentery [ 11 , 17 , 18 ].…”

“…It also extends behind the descending mesocolon [ 2 , 11 , 16 – 19 ]. This anatomical region is the crossroad between the descending mesocolon, transverse mesocolon, and small bowel mesentery [ 11 , 17 , 18 ]. The IMV and the ascending LCA are the most important vascular landmarks.…”

“…Occurrence in elderly patients (> 70 years) is very rare and occurrence in patients over 80 years old is usually under-reported [ 6 – 10 ]. These conditions represent the 5.8% of all small bowel obstruction (SBO) and carry a high mortality rate [ 2 – 5 , 11 , 12 ].…”