Incarcerated left paraduodenal hernia − case report and literature review

Česká verze

Authors: A. Hudák ¹; M. Hurný ¹; Z. Bělobrádek jr. ²; I. Guňka ¹
Authors place of work: Chirurgická klinika, Lékařská fakulta Univerzity Karlovy a Fakultní nemocnice Hradec Králové ¹; Radiologická klinika, Lékařská fakulta Univerzity Karlovy a Fakultní nemocnice Hradec Králové ²
Published in the journal: Rozhl. Chir., 2022, roč. 101, č. 1, s. 46-49.
Category: Kazuistika
doi: https://doi.org/10.33699/PIS.2022.101.1.46–49

Summary

Introduction: Left paraduodenal hernia is an internal herniation that develops due to anomalous fetal development. If incarcerated, it becomes an unusual cause of acute abdomen.

Case report: This case report presents an uncommon case of a 39-year-old man with acute abdominal pain with vomiting. The patient’s medical history included recurrent subileous events and Crohn´s disease in long-term remission. CT scan of abdominal cavity indicated a possible mechanical obstruction of small bowel loops in the upper left abdominal quadrant. Incarcerated left paraduodenal herniation was identified during surgery. Repositioned small bowel loops did not require resection and the entrance of Landzert´s fossa was sutured.

Conclusion: Left paraduodenal hernia is the most common congenital internal herniation. Although rare, it should be considered in the differential diagnosis of acute abdomen.

Keywords:

acute abdomen – paraduodenal hernia – internal hernia

Zdroje

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