Laparoscopic treatment of acute small bowel obstruction due to left paraduodenal hernia: A case report and literature review

International Journal of Surgery Case Reports
Maurizio ZizzoStefano Bonilauri

Abstract

Internal hernia is a pathological condition resulting from abnormal protrusion of abdominal viscera through an opening in the intraperitoneal recesses of the abdominal cavity. Small bowel obstruction due to internal hernia is not common (0.25-0.9% of cases). The most common group is that of paraduodenal hernias (53%), of which the left-sided one is the most common type (75%). We report a case of a 43 year-old man with a history of recurrent abdominal pain, who was hospitalized because of an episode of acute small bowel obstruction. He had no previous surgery. Computed tomography revealed an encapsulated circumscribed cluster of jejunal loops in the left upper quadrant, near the ligament of Treitz, and the hernia orifice was adjacent to the left side of the inferior mesenteric vessels. Emergency laparoscopic surgery was performed: the small bowel was found completely herniated under the inferior mesenteric vessels. It was gradually reduced and the hernia space was closed with a running suture. The patient was discharged on the fourth day without complications. Left paraduodenal hernia is a rare cause of small bowel obstruction that should be taken into account in a patient with a history of recurrent abdominal pain or intestinal...Continue Reading

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Citations

Aug 7, 2019·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Teresa CereserOthmar Schöb
Jan 25, 2018·Case Reports in Surgery·Mathew A Kozman, Oliver M Fisher
Apr 22, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·D SchizasE Pikoulis

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