#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Incarcerated left paraduodenal hernia − case report and literature review


Authors: A. Hudák 1;  M. Hurný 1;  Z. Bělobrádek jr. 2;  I. Guňka 1
Authors place of work: Chirurgická klinika, Lékařská fakulta Univerzity Karlovy a Fakultní nemocnice Hradec Králové 1;  Radiologická klinika, Lékařská fakulta Univerzity Karlovy a Fakultní nemocnice Hradec Králové 2
Published in the journal: Rozhl. Chir., 2022, roč. 101, č. 1, s. 46-49.
Category: Case Report
doi: https://doi.org/10.33699/PIS.2022.101.1.46–49

Summary

Introduction: Left paraduodenal hernia is an internal herniation that develops due to anomalous fetal development. If incarcerated, it becomes an unusual cause of acute abdomen.

Case report: This case report presents an uncommon case of a 39-year-old man with acute abdominal pain with vomiting. The patient’s medical history included recurrent subileous events and Crohn´s disease in long-term remission. CT scan of abdominal cavity indicated a possible mechanical obstruction of small bowel loops in the upper left abdominal quadrant. Incarcerated left paraduodenal herniation was identified during surgery. Repositioned small bowel loops did not require resection and the entrance of Landzert´s fossa was sutured.

Conclusion: Left paraduodenal hernia is the most common congenital internal herniation. Although rare, it should be considered in the differential diagnosis of acute abdomen.

Keywords:

acute abdomen – paraduodenal hernia – internal hernia


Zdroje

1. Dvorak D, Adamova Z, Bar T, et al. Internal hernia as a cause of small bowel obstruction. [Article in Czech ] Rozhl Chir. 2017;96(1):34−6.

2. Martin LC, Merkle EM, Thompson WM. Review of internal hernias: radiographic and clinical findings. AJR Am J Roentgenol. 2006 Mar;186(3):703−717. doi:10.2214/ AJR.05.0644.

3. Andrews E. Duodenal hernia: a misnomer. Surg Gynecol Ostet. 1923(37):740–50.

4. Jonnesco T. Anatomie topographique du duodenum et hernies duodenales. Paris: Legrosnier et Babe 1889.

5. Bartlett MK, Wang C, Williams WH. The surgical management of paraduodenal hernia. Ann Surg. 1968 Aug;168(2):249−254. doi:10.1097/00000658-196808000- 00010.

6. Abukhalaf SA, Mustafa A, Elqadi MN, et al. Paraduodenal hernias in children: Etiology, treatment, and outcomes of a rare but real cause of bowel obstruction. Int J Surg Case Rep. 2019;64:105−108. doi:10.1016/j.ijscr.2019.10.001.

7. Desjardins AU. Left paraduodenal hernia. Ann Surg. 1918 Feb;67(2):195−201. doi: 10.1097/00000658-191802000-00011.

8. Takagishi T, Niimi Y, Matsuki G, et al. Laparoscopic repair of right paraduodenal hernia in adult patients: case report and literature review. Case Rep Surg. 2018;9691689. doi: 10.1155/2018/9691689.

9. Brigham RA, Fallon WF, Saunders JR, et al. Paraduodenal hernia: diagnosis and surgical management. Surgery 1984 Sep;96(3):498−502.

10. Khan MA, Lo AY, Vande Maele DM. Paraduodenal hernia. Am Surg. 1998 Dec;64(12):1218−1222.

11. Blachar A, Federle MP, Dodson SF. Internal hernia: clinical and imaging findings in 17 patients with emphasis on CT criteria. Radiology 2001 Jan;218(1):68−74. doi:10.1148/radiology.218.1.r01ja5368.

12. Schizas D, Apostolou K, Krivan S, et al. Paraduodenal hernias: a systematic review of the literature. Hernia 2019 Dec;23(6):1187−1197. doi:10.1007/ s10029-019-01947-3.

13. Jeong GA, Cho GS, Kim HC, et al. Laparoscopic repair of paraduodenal hernia: comparison with conventional open repair. Surg Laparosc Endosc Percutan Tech. 2008 Dec;18(6):611−615. doi:10.1097/ SLE.0b013e3181825733.

14. Uematsu T, Kitamura H, Iwase M, et al. Laparoscopic repair of a paraduodenal hernia. Surg Endosc. 1998 Jan;12(1):50−52. doi:10.1007/s004649900591.

15. Manfredelli S, Andrea Z, Stefano P, et al. Rare small bowel obstruction: Right paraduodenal hernia. Case report. Int J Surg Case Rep. 2013;4(4):412−415. doi:10.1016/j.ijscr.2012.11.027.

Štítky
Surgery Orthopaedics Trauma surgery

Článok vyšiel v časopise

Perspectives in Surgery

Číslo 1

2022 Číslo 1
Najčítanejšie tento týždeň
Najčítanejšie v tomto čísle
Prihlásenie
Zabudnuté heslo

Zadajte e-mailovú adresu, s ktorou ste vytvárali účet. Budú Vám na ňu zasielané informácie k nastaveniu nového hesla.

Prihlásenie

Nemáte účet?  Registrujte sa

#ADS_BOTTOM_SCRIPTS#