Left Paraduodenal Hernia with Bowel Strangulation

Left Paraduodenal Hernia with Bowel Strangulation

Left paraduodenal hernia: an unusual cause of small-bowel obstruction.

A 35-year-old man presented with a 10-day history of recurrent crampy abdominal pain, distension, nausea, vomiting and alternating constipation and diarrhea. His medical history was significant for an appendectomy, done many years earlier. Physical examination revealed dehydration and some abdominal distension but no visible external hernia. Smallbowel follow-through with barium and intraoperat...

A left paraduodenal hernia causing bowel obstruction: a case report

A 41-year old mentally retarded patient presented acutely with a 3 day history of vomiting and absolute constipation. Intestinal obstruction was diagnosed following an abdominal x ray. At laparotomy, a left paraduodenal hernia was present, without incarceration of small bowel. The herniated loops were reduced and the hernia orifice closed. The anatomy, treatment and importance of considering th...

Left paraduodenal hernia combined with acute cholecystitis

Paraduodenal hernia is a rare congenital malformation. Management consists of reduction of the herniated intestine and repair of the defect. A 74-year-old woman presented to the Emergency Department with persistent right upper quadrant pain that began 3 hours ago. Physical examination revealed tenderness at right upper quadrant of abdomen. Computed tomography revealed multiple gallstones with g...

Transmesosigmoid hernia with small bowel strangulation

Introduction: Internal herniation of the small bowel is difficult to diagnose before surgery. Delayed laparotomy is related to high morbidity and mortality. We present a rare case of a transmesosigmoid hernia to demonstrate the importance of high suspicion and early laparotomy. Case Report: A 44­year­old female patient had severe abdominal pain of acute onset. A CT scan at six hours after onset...