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Paraduodenal hernia

Aires Martins, Álvaro Gonçalves, Teresa Almeida, Rui Gomes, João Lomba, Alberto Midões
Left paraduodenal hernia is an entrapment of the small bowel into the Landzert fossa, an unusual congenital peritoneal defect behind the descending mesocolon that results from failure of part of the descending mesocolon to fuse with the posterior parietal peritoneum (Doishita et al. in Radiographics, 36(1): 88-106, 2016). This fossa is reported to be present in approximately 2% of autopsy bodies. The authors present a case of a left paraduodenal hernia in a young woman.
November 20, 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
Mohammed Alila, Abdelouahab Marouni, Imane Toughrai
We here report two cases of acute bowel obstruction. Emergency intervention showed left obstructive paraduodenal hernia causing volvulus with necrosis of the incarcerated intestinal loops in one patient who underwent one-time anastomosis resection and suffering but viable small bowel in the second patient treated by incarcerated intestinal loop reduction and obturation of the orifice of the hernial canal. We here highlight the diagnostic and therapeutic features of this rare condition.
2017: Pan African Medical Journal
Michelle Ong, Matthew Roberts, Marlon Perera, Casper Pretorius
We report an unusual case of a strangulated internal hernia resulting from a right paraduodenal fossa hernia (PDH) in the context of bowel malrotation. There are few documented cases of PDHs associated with a concomitant gut malrotation. Emergency laparotomy was performed based on clinical and radiological. Intraoperatively, the proximal jejunum was seen to enter a hernia sac formed by an aberrant duodenojejunal flexure located to the right of the aorta. This was presumed to be a strangulated internal hernia of the paraduodenal recess in a malrotated gut...
July 24, 2017: BMJ Case Reports
Krish Kulendran, Cian Keogh, Heng-Chin Chiam
No abstract text is available yet for this article.
July 21, 2017: ANZ Journal of Surgery
Te-Pao Lin, Chang-Hsien Liu
No abstract text is available yet for this article.
2017: Internal Medicine
A Volpi, P Ialongo, A Panebianco, R Lozito, A Prestera, R Laforgia, C Punzo, N Palasciano
Left paraduodenal hernia is a rare congenital anomaly which arises from an error of rotation of the midgut; sometimes can be responsible for intestinal occlusion, that require surgery. In many cases of literature a prompt diagnosis and therapy reduced morbidity and mortality and almost all patients were discharged on 4th or 5th postoperative day (POD). We report a case of a 59 years old patient who underwent surgery for intestinal obstruction due to a massive left paraduodeneal hernia, that had a very long period (20 days) of postoperative ileus...
November 2016: Il Giornale di Chirurgia
Shivpal V Tambe, Kum Kum Rana, Arun Kakar, Satish Aggarwal, Anil Aggrawal, Smita Kakar, Nitinkumar Borkar
INTRODUCTION: The detailed knowledge of the peritoneal recesses has great significance with respect to internal hernias. The recesses are usually related to rotation and adhesion of abdominal viscera to the posterior abdominal wall and/or the presence of retroperitoneal vessels which raises the serosal fold. The duodenal recesses are usually related to the 3(rd) and 4(th) parts of the duodenum. Internal hernias with respect to these recesses are difficult to diagnose clinically and usually noticed at the time of laparotomy...
February 1, 2017: Archives of Medical Science: AMS
L Barbosa, A Ferreira, A A Póvoa, J P Maciel
Left paraduodenal hernia is a rarely found condition in which the small bowel herniates through a congenital peritoneal defect located behind the 4th portion of duodenum. It usually courses with non-specific symptoms and a widely variable clinical presentation which makes preoperative diagnosis very difficult. It has been associated with a high rate of complications, including bowel strangulation and even death. Prompt surgical intervention consisting of intraoperative surgeon's awareness and recognition of this condition are crucial in order to improve postoperative morbidity and mortality...
August 16, 2016: BMJ Case Reports
Terrence H Liu
Internal hernias are the causes of 0.5 to 5.8 per cent of all cases of small bowel obstruction. Left paraduodenal hernia (PDH) is the most common congenital internal hernia encountered in adults. The symptoms and physical findings associated with PDH are vague and nonspecific before the onset of complicated intestinal obstruction. Diagnoses are most commonly established by CT. This case presentation and review is intended to promote clinicians' awareness of this unusual but potentially highly morbid condition, discuss CT findings associated with PDH, and illustrate the importance of timing in the acquisition of diagnostic abdominal CT scans...
June 2016: American Surgeon
Roney Johnson John, Sansho Elavumkal Ulahannan, John S Kurien, Aneesh Joseph, Annie Sandhya Kurien, Sandeep Abraham Varghese, Bindhya Thomas, Fobin Varghese
Hernia is an abnormal protrusion of an organ or tissue through a defect in its surrounding walls. It can be divided into internal, external and diaphragmatic hernias. Most of them can be asymptomatic. If they become symptomatic they can present with features of intestinal obstruction, incarceration or strangulation. In this case series we compare the incidence of these rare presentations of hernias with world literature and to warn surgeons not to cut the obstructing band in cases of internal hernias. In this case series, we review the clinical details of 7 rare presentations of hernia, who presented with various types of hernias to a tertiary care centre in Kerala over a period of one year...
March 2016: Journal of Clinical and Diagnostic Research: JCDR
Gaurav V Kulkarni, Hrishikesh P Salgaonkar, Pradeep Chandra Sharma, Nippun R Chakkarvarty, Avinash N Katara, Deepraj S Bhandarkar
Internal hernia is the cause of only 1% of intestinal obstructions, and left paraduodenal hernias (PDH) comprise about 50% of these cases. As the presentation of PDH is varied, diagnosis is often delayed. Here, we report two patients with left PDH presenting in a subacute manner and diagnosed rapidly with the help of a CT scan. Both underwent successful laparoscopic repair; one patient had closure of the defect, and the other required excision of the sac prior to the closure. We review 21 cases of left PDH treated laparoscopically that were previously reported in the literature, including 14 from Asian countries...
May 2016: Asian Journal of Endoscopic Surgery
Maurizio Zizzo, Nazareno Smerieri, Italo Barbieri, Andrea Lanaia, Stefano Bonilauri
INTRODUCTION: 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%). PRESENTATION OF CASE: 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...
2016: International Journal of Surgery Case Reports
S Rajesh, P Sampath Kumar, Gaurav Maheshwari, Charudutt Sambhaji
Right paraduodenal hernia usually occurs in setting of nonrotated small bowel, when small bowel herniates through Waldeyer's fossa (a defect in the first part of jejunal mesentery). It lies behind the superior mesenteric artery and inferior to the transverse colon or third portion of duodenum. We studied two cases of right paraduodenal hernia, an incomplete rotation, and nonrotation of small bowel, respectively, and describe CT abdomen signs, which can give a preoperative diagnosis.
December 2015: Indian Journal of Surgery
Satoshi Doishita, Tohru Takeshita, Yasutake Uchima, Masayasu Kawasaki, Taro Shimono, Akiyoshi Yamashita, Michiko Sugimoto, Teruhisa Ninoi, Hideki Shima, Yukio Miki
Clinical diagnosis of internal hernias is challenging because of their nonspecific signs and symptoms. Many types of internal hernias have been defined: paraduodenal, small bowel mesentery-related, greater omentum-related, lesser sac, transverse mesocolon-related, pericecal, sigmoid mesocolon-related, falciform ligament, pelvic internal, and Roux-en-Y anastomosis-related. An internal hernia is a surgical emergency that can develop into intestinal strangulation and ischemia. Accurate preoperative diagnosis is crucial for appropriate management...
January 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
Da-Young Yu, You-Jin Jang, Young-Jae Mok
Paraduodenal hernia is by far the most common form of congenital internal hernia. Chylous ascites is an accumulation of lymphatic fluid in the peritoneal cavity. It develops when the lymphatic system is disrupted due to traumatic injury or obstruction. A 40-year-old, woman showed up to the Emergency Department with severe, colicky abdominal pain. Tenderness and rebound tenderness were observed at the left abdomen. Abdominal CT confirmed a cluster of dilated proximal small bowel loops with ischemic change, without ascites...
November 2015: Annals of Surgical Treatment and Research
Joshua S Winder, Eric M Pauli, Randy S Haluck
INTRODUCTION: Internal hernias are a rare cause of bowel obstruction, constituting 0.2-0.9 % of all cases with paraduodenal hernias (PDH) being the most common accounting for 50 % of all internal hernias with 75 % of those being left-sided [1, 2]. They are due to small bowel herniating into a peritoneum-lined sac at the fourth portion of the duodenum as the result of abnormal midgut rotation during embryonic development. Patients may present with symptoms of small bowel obstruction, though the majority are found incidentally [3]...
August 2016: Surgical Endoscopy
Christoph Gerdes, Oke Akkermann, Volker Krüger, Anna Gerdes, Berthold Gerdes
Meckel's diverticula incarcerated in a hernia were first described anecdotally by Littré, a French surgeon, in 1700. Meckel, a German anatomist and surgeon, explained the pathophysiology of this disease 100 years later. In addition, a congenital paraduodenal mesocolic hernia, known as a Treitz hernia, is a rare cause of small bowel obstruction. These hernias are caused by an abnormal rotation of the primitive midgut, resulting in a right or left paraduodenal hernia. We treated a patient presenting with pain and diagnosed extraluminal air in the abdomen after a computed tomography examination...
August 16, 2015: World Journal of Clinical Cases
Weerapat Suwanthanma, Chakrapan Euanorasetr, Sarash Soom-im, Sarinda Lertbannaphong
The authors presented a case of left paraduodenal hernia as a cause of closed loop small bowel obstruction in an elderly patient. Internal hernias are a rare cause of intestinal obstruction. Paraduodenal hernias are the most frequent especially left sided, which are believed to be the result of malrotation of the midgut during embryonic period. The clinical presentations varied, ranging from asymptomatic, chronic abdominal pain, or acute abdominal pain as acute abdomen. Most of the patients usually have early presentation in adult life with average age of 38...
July 2015: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
Tomokazu Kishiki, Toshiyuki Mori, Yoshikazu Hashimoto, Hiroyoshi Matsuoka, Nobutsugu Abe, Tadahiko Masaki, Masanori Sugiyama
Introduction. Internal hernias are often misdiagnosed because of their rarity, with subsequent significant morbidity. Case Presentation. A 61-year-old Japanese man with no history of surgery was referred for intermittent abdominal pain. CT suggested the presence of a transmesocolic internal hernia. The patient underwent a surgical procedure and was diagnosed with transmesocolic internal hernia. We found internal herniation of the small intestine loop through a defect in the transverse mesocolon, without any strangulation of the small intestine...
2015: Case Reports in Surgery
Chin Hong Lim, Hock Soo Ong, Alvin Eng
No abstract text is available yet for this article.
September 2015: Gastroenterology
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