Paraduodenal herniation: An internal herniation in a virgin abdomen

Kabbani, Dana; Salem, A.; Holloway, Daniel K.

doi:10.1016/j.ijscr.2014.11.021

Cited by 13 publications

(19 citation statements)

References 5 publications

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“…This may reveal a cluster of small bowels at the ligament of Treitz with or without associated findings of small intestine obstruction [ 2 ]. An additional compression on the posterior stomach and distal duodenum results in inferior displacement of transverse colon and shifting of the mesenteric truck to the right [ 12 ]. However, instances of acute abdomen warrant omission of preoperative imaging and immediate exploratory laparotomy.…”

Section: Discussionmentioning

confidence: 99%

“…Excision of the hernia sac has been described but is not mandatory given the potential for injury to the colic vessels [ 14 ]. Correct identification and preservation of the vascular structures that constitute the hernia neck is essential [ 12 ]. Rarely, widening of the hernia neck is required to reduce the contents and may involve incision of constricting peritoneal fold inferiorly and even division of the inferior mesenteric vein in more difficult cases [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

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Left Paraduodenal Hernia: A Rare Complication following Laparoscopic Appendectomy

Kozman

Fisher

2017

Case Reports in Surgery

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Paraduodenal hernias are rare congenital internal hernias accounting for <2% of intestinal obstruction. Left paraduodenal hernias (LPDHs) into the fossa of Landzert are the more common type and result from abnormal rotation of the midgut and failure of peritoneal fusion. Sequelae of these hernias usually occur spontaneously in the 4th or 5th decade of life and are more common in males and have a significant risk of incarceration and subsequent strangulation. We describe a case of a 15-year-old female who develops a LPDH following laparoscopic appendectomy, resulting in jejunal incarceration and subsequent small intestinal obstruction. The patient discussed is from an atypical demographic, being young and female. In addition, the precipitating event prompting incarceration of the hernia appears to be the application of pneumoperitoneum, placement in the Trendelenburg position, and manipulation of small intestine for the purpose of facilitating laparoscopic appendectomy. To our knowledge, this is the first reported case of LPDH exacerbated by laparoscopic procedure.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Left Paraduodenal Hernia: A Rare Complication following Laparoscopic Appendectomy

Kozman

Fisher

2017

Case Reports in Surgery

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“…There are various clinical manifestations: recurring abdominal pain, acute obstruction and asymptomatic. Left PDH is the most common internal herniation, but it tends to present too many clinical features to early diagnosis (5) .…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic surgery management of Hydronephrosis secondary to Left Paraduodenal Hernia in cryptorchid: Case report and a literature review

Wang

Guan²,

Yong³

et al. 2020

Preprint

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Rationale 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. Patient concerns 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. Diagnosis Diagnostic laparoscopic exploration confirmed the diagnosis left paraduodenal hernia secondary hydronephrosis. Cryptorchidism was the primary purpose of treatment. Interventions The patient was treated with laparoscopic surgery, fixed left paraduodenal hernia, released the ureteropelvic junction obstruction (UPJO) and treated hydronephrosis. Out comes Secondary surgery for treating cryptorchidism would be performed and the long-term follow up was necessary. Lessons 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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“…There are surgeons who recommend complete excision of the hernial sac but its application is generally avoided, as it may cause mesocolic or vascular injury (8,11). In the presence of necrosis, that is usually observed in advanced stage, resection may be required due to increased risk of mortality and morbidity (6,12). Laparoscopic approach has been reported to reduce postoperative pain, to shorten the length of hospital stay, to allow early oral feeding and to decrease postoperative morbidity (2).…”

Section: Discussionmentioning

confidence: 99%

A Cause of Acute Abdomen that Should not be Neglected: Left Paraduodenal Hernia

Uluşahin¹,

Alhan²,

Usta³

2018

Haseki

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Left paraduodenal hernia (LPH) is a congenital condition which develops as a result of abnormal rotation of the midgut. Generally, small intestines are wedged into the hernial sac leading to symptoms of ileus. In neglected cases, necrosis may be present and these cases may progress to fatal outcomes. In this article, we present a case of LPH which was detected on computed tomography in a patient admitted to the emergency department at our hospital with the complaints of abdominal pain who had no history of previous surgery. In laparotomy, jejunal and ileal segments which were inside the hernial sac were removed back to the abdominal cavity. The defect in the patient without any sign of necrosis was closed primarily. Keywords: Left paraduodenal hernia, acute abdomen, internal hernia, intestinal obstructionSol paraduodenal herni (SPH) orta barsağın anormal rotasyonu nedeniyle oluşan konjenital bir durumdur. Herni kesesi içerisinde genelde ince barsaklar bulunmakta ve ileus semptomlarına sebep olmaktadır. Gecikmiş olgularda nekroz görülebilir ve bu olgular ölümcül seyredebilir. Biz bu yazıda hastanemiz acil servisine karın ağrısı şikayeti ile gelen ve geçirilmiş operasyon öyküsü olmayan hastada bilgisayarlı tomografide de tespit edilen SPH olgusunu takdim ettik. Laparotomide herni kesesi içerisindeki jejunal ve ileal segmentler batın içerisine alındı. Nekroz bulgusu olmayan hastada defekt primer olarak tamir edildi.

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Paraduodenal herniation: An internal herniation in a virgin abdomen

Cited by 13 publications

References 5 publications

Left Paraduodenal Hernia: A Rare Complication following Laparoscopic Appendectomy

Left Paraduodenal Hernia: A Rare Complication following Laparoscopic Appendectomy

Laparoscopic surgery management of Hydronephrosis secondary to Left Paraduodenal Hernia in cryptorchid: Case report and a literature review

A Cause of Acute Abdomen that Should not be Neglected: Left Paraduodenal Hernia

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