An Uncommon Cause of Acute Bowel Obstruction: The Left Para-Duodenal Hernia

نویسندگان

  • Ayman Trigui
  • Ahmed Guirat
  • Haitham Rejab
  • Nizar Kardoun
  • Foued Frikha
  • Mohamed B Amar
  • Mohamed I Beyrouti
چکیده

Internal hernias of the abdomen are uncommon. They represent less than 1% of bowel obstruction cases. The left Paraduodenal hernia (PH) is the most frequent type of internal hernias. We report a case of 77 year- old woman consulting for bowel obstruction evolving since two days. The abdominal computed tomography revealed a retroperitoneal small bowel contained in a peritoneal sac. The surgical exploration confirmed the diagnosis of a left internal PH by showing incarcerated jejunal loops in a PH through a narrow opening to the left of the angle of Treitz. A surgical reduction of the hernia and closure of the hernia neck were performed. The follow-ups were uncomplicated. Through this observation and a literature review, we try to recall the clinical and radiological characteristics of this disease and to clarify the therapeutic modalities.

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عنوان ژورنال:

دوره 18  شماره 

صفحات  -

تاریخ انتشار 2012