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Paraduodenal hernia

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https://www.readbyqxmd.com/read/27530871/left-paraduodenal-hernia-a-rare-cause-of-small-bowel-obstruction-in-the-elderly
#1
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...
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27305888/timing-of-abdominal-ct-evaluation-impacts-the-diagnosis-of-paraduodenal-hernia
#2
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
https://www.readbyqxmd.com/read/27134943/rare-hernias-presenting-as-acute-abdomen-a-case-series
#3
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
https://www.readbyqxmd.com/read/27117968/laparoscopic-repair-of-left-paraduodenal-hernia-report-of-two-cases-and-review-of-the-literature
#4
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
https://www.readbyqxmd.com/read/26826933/laparoscopic-treatment-of-acute-small-bowel-obstruction-due-to-left-paraduodenal-hernia-a-case-report-and-literature-review
#5
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
https://www.readbyqxmd.com/read/26730071/malrotation-of-small-bowel-diagnostic-computed-tomography-ct-signs-and-intraoperative-findings
#6
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
https://www.readbyqxmd.com/read/26587890/internal-hernias-in-the-era-of-multidetector-ct-correlation-of-imaging-and-surgical-findings
#7
COMPARATIVE STUDY
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
https://www.readbyqxmd.com/read/26576408/left-paraduodenal-hernia-accompanying-chylous-ascites
#8
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
https://www.readbyqxmd.com/read/26558911/laparoscopic-repair-of-a-left-sided-paraduodenal-hernia
#9
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
https://www.readbyqxmd.com/read/26301234/incarceration-of-meckel-s-diverticulum-in-a-left-paraduodenal-treitz-hernia
#10
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
https://www.readbyqxmd.com/read/26267996/left-paraduodenal-hernia-as-a-rare-cause-of-small-bowel-obstruction-in-elderly-a-case-report-and-review-of-literature
#11
REVIEW
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
https://www.readbyqxmd.com/read/26246930/laparoscopic-repair-of-internal-transmesocolic-hernia-of-transverse-colon
#12
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
https://www.readbyqxmd.com/read/26226585/a-rare-cause-of-abdominal-pain-left-paraduodenal-hernia
#13
Chin Hong Lim, Hock Soo Ong, Alvin Eng
No abstract text is available yet for this article.
September 2015: Gastroenterology
https://www.readbyqxmd.com/read/26188474/intestinal-obstruction-secondary-to-left-paraduodenal-hernia
#14
John R Gusz, Lauren M Wright
An internal hernia-congenital or acquired-is a protrusion of bowel through an opening in the peritoneum or mesentery. Internal hernias are the etiology of <2% of intestinal obstructions, with paraduodenal hernias being the most common type of congenital internal hernia. We report a case of a left paraduodenal hernia (LPDH) combined with partial small bowel obstruction in a 69-year-old male with recurrent abdominal pain of 2 years duration and no previous abdominal surgeries. An abdominal computed tomography scan showed an agglomeration of small bowel loops in the left upper quadrant but failed to yield a clear diagnosis...
2015: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/25953110/jejunal-obstruction-due-to-a-variant-of-transmesocolic-hernia-a-rare-presentation-of-an-acute-abdomen
#15
Duminda Subasinghe, Chathuranga Tisara Keppetiyagama, Dharmabandhu N Samarasekera
BACKGROUND: Internal hernias include paraduodenal, pericecal, through foramen of Winslow, intersigmoid and retroanastomotic hernias. These hernias could be either congenital or acquired after abdominal surgery. They account for approximately 0.5-5 % of all cases of intestinal obstruction. CASE PRESENTATION: A 48-year-old female was admitted to casualty with a history of abdominal distension and vomiting of 3 days duration. An abdominal X-ray supine film showed multiple small bowel loops with air fluid levels...
2015: BMC Surgery
https://www.readbyqxmd.com/read/25931855/a-rare-pathology-that-caused-high-level-intestinal-obstruction-left-paraduodenal-hernia
#16
Muharrem Öztaş, Mehmet Fatih Can, Erkan Öztürk, Gökhan Yağcı
The aim of this report is to assess clinical findings and surgical treatment of left paraduodenal hernia, which is an unusual type of internal herniation, in light of the literature. The diagnosis and treatment course of a 42-year-old male patient with findings of intestinal obstruction was assessed and presented together with literature search. The patient underwent surgery with a preliminary diagnosis of intestinal obstruction and the definitive diagnosis of internal herniation was made intraoperatively. Nearly two-thirds of the small intestine was found to be herniated into the retroperitoneal space from the left paraduodenal region...
2013: Ulusal Cerrahi Dergisi
https://www.readbyqxmd.com/read/25802350/congenital-left-paraduodenal-hernia-causing-chronic-abdominal-pain-and-abdominal-catastrophe
#17
Yan Shi, Amy E Felsted, Prakash M Masand, Brent A Mothner, Jed G Nuchtern, J Ruben Rodriguez, Sanjeev A Vasudevan
Paraduodenal hernias are the most common type of congenital internal hernia. Because of its overall rare incidence, this entity is often overlooked during initial assessment of the patient. Lack of specific diagnostic criteria also makes diagnosis exceedingly difficult, and the resulting diagnostic delays can lead to tragic outcomes for patients. Despite these perceived barriers to timely diagnosis, there may be specific radiographic findings that, when combined with the appropriate constellation of clinical symptoms, would aid in diagnosis...
April 2015: Pediatrics
https://www.readbyqxmd.com/read/25598063/right-paraduodenal-hernia-successfully-treated-with-laparoscopic-surgery
#18
Takahiro Tomino, Shinji Itoh, Daisuke Yoshida, Takahiro Nishida, Hirofumi Kawanaka, Tetsuo Ikeda, Shunji Kohnoe, Ken Shirabe, Yoshihiko Maehara
A 23-year-old Japanese man presented with a history of sudden-onset right abdominal pain accompanied by nausea and vomiting. Contrast-enhanced CT showed a large cluster on the right side of the retroperitoneum, with most of the small bowel incarcerated. The patient was diagnosed with small bowel obstruction caused by a right paraduodenal hernia, and emergency laparoscopic surgery was performed. The large retroperitoneal cluster on the right side contained almost all segments of the small bowel, although the incarcerated bowel showed no evidence of volvulus or ischemia...
February 2015: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/25550713/congenital-middle-mesocolic-hernia-a-case-report
#19
Narayanasamy S Kannan, Kannan Usha, Thangamani Arun, Mohamedhanif P Naseeruddin, Petchiappan C Ganesh Babu, Selvaraj Karthikesh
Internal hernia is herniation of a viscus, usually in the small bowel, through a normal or abnormal aperture within the peritoneal cavity. Its incidence has been reported to be one to two per cent. Internal hernias are classified based on location, and the hernial orifice can be either congenital or acquired. Paraduodenal hernias are the most common type (53 per cent). Paraduodenal hernia is often a misnomer and is referred to as a mesocolic hernia. Left and right mesocolic hernias are common, while middle and transverse types are rare...
2014: Australasian Medical Journal
https://www.readbyqxmd.com/read/25437660/paraduodenal-herniation-an-internal-herniation-in-a-virgin-abdomen
#20
Dana Kabbani, Ayman Salem, Daniel K Holloway
INTRODUCTION: A paraduodenal hernia is an uncommon hernia that results from an abnormal rotation of the midgut. Commonly, these hernias are congenital in nature, and are reported to cause 1.5-5.8% of intestinal obstructions. These hernias occur when a part of the jejunum herniates through the posterior portion of the ligament of Treitz. Diagnosing these hernias preoperatively has been shown to be difficult, despite the studies that are available. Early diagnosis is imperative to the patient in order to avoid strangulation of the bowel, which is associated with a high mortality...
2014: International Journal of Surgery Case Reports
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