A rare case that caused high-level intestinal obstruction: left paraduodenal hernia
Muharrem Öztaş, Mehmet Fatih Can, Erkan Öztürk, Gökhan Yağcı
Department of General Surgery, Gülhane Military Medical Academy, Ankara, Turkey
Aim is to assess left paraduodenal hernia, which is an unusual type of internal herniation, accompanying clinical findings and surgical treatment in the light of published knowledge. The diagnosis and treatment course of a 42-year-old male patient with findings of ileus was assessed and presented with a literature search. The patient underwent surgery with a preliminary diagnosis of intestinal obstruction and the definitive diagnosis was made intraoperatively. Nearly two-thirds of the small intestine was found to be herniated into the retroperitoneal space from the left paraduodenal region. Small bowel loops were pulled out of the hernia sac and anatomically positioned in the intraperitoneal area. The hernia sac was repaired primarily using stitches in continuous fashion. The patient was discharged on postoperative day four uneventfully. Left paraduodenal hernia should be considered a part of differential diagnosis in patients who have recurring abdominal pain accompanied by symptoms suggestive of intestinal obstruction. Timely diagnosis is important to prevent complications. Reduction of hernia content followed by primary repair of the defect appears to be safe and to provide definitive treatment.
Keywords: Paraduodenal hernia, internal hernia, intestinal obstruction
Written informed consent was obtained from the patient who participated in this case report.
Concept - G.Y., E.Ö.; Design - G.Y., E.Ö.; Data Collection and/or Processing - M.F.C., M.Ö.; Analysis and/or Interpretation - G.Y., E.Ö.; Writer - M.Ö., M.F.C.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.