Intestinal obstruction due to a left paraduodenal hernia: a case report

Journal of Medical Case Reports
Sidi Mohammed BouchentoufKhalid Sair

Abstract

A left paraduodenal hernia is a rare congenital malrotational anomaly of the midgut that occurs in the paraduodenal fossa of Landzert to the left of the fourth duodenum. It is responsible for approximately 1% of small bowel obstructions. We report a case of left paraduodenal hernia combined with small bowel obstruction in a 47-year-old Mediterranean woman who had a history of recurrent abdominal pain. An abdominal computed tomography scan showed a saclike mass clustered in the left upper quadrant but failed to yield a clear diagnosis. We describe the surgical anatomy of this disease and the emergency surgical management together with a short review of the literature. Even though a left paraduodenal hernia is rare, it must be suspected in any upper intestinal occlusion. The high morbidity and mortality rate of complicated cases should motivate preventive treatment in case of incidental operative discovery.

References

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Dec 17, 2009·Journal of Pediatric Surgery·Brian P Teng, Sani Ziad Yamout

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Citations

Jul 21, 2015·Journal of Surgical Case Reports·John R Gusz, Lauren M Wright
Apr 22, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·D SchizasE Pikoulis
Aug 7, 2019·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Teresa CereserOthmar Schöb
Jul 14, 2021·International Journal of Surgery Case Reports·Dragan ManojlovićMario Palinkaš

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