Pregnancy Complicated by Acute Intestinal Obstruction Secondary to Left Paraduodenal Hernia- An Unusual Case Report

Abstract

BACKGROUNDA 25-year-old female with 34 weeks' gestation and intestinal obstruction was diagnosed to have paraduodenal hernia during laparotomy. Paraduodenal hernia is a congenital anomaly where the small intestine is trapped in the internal hernial sac. Only if high suspicion is kept in mind, this rare entity may be diagnosed preoperatively. All modern imaging modalities including USG, CT scan and MRI suggest only intestinal obstruction along with gravid uterus.

Anaesthetic challenges in a rare case of paraduodenal hernia complicating pregnancy

“…Only two cases of left-sided PDH and one case of right-sided PDH associated with pregnancy have been reported. [1][2][3] However, none of these cases have discussed the anaesthetic challenges of such a case. Here we report the anaesthetic management of a case of right-sided paraduodenal hernia discovered as a coincidental finding during emergency laparotomy in a seven months antenatal patient with acute abdomen.…”