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Internal hernia with volvulus and intussusception: case report.

O A Catalano1, A Bencivenga, M Abbate

  • 1Diagnostica per Immagini, A. O. Rummo, Via Provinciale 93, Beltiglio di Ceppaloni (BN), Benevento 82010, Italy. onofriocatalano@yahoo.it

Abdominal Imaging
|August 5, 2004
PubMed
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This case report details an 82-year-old male with acute abdominal pain. Radiologic and surgical findings revealed a rare combination of left paraduodenal hernia, volvulus, intussusception, and bowel ischemia.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Diagnostic Imaging

Background:

  • Acute abdominal pain and biliary vomiting are common presenting symptoms in emergency settings.
  • Left paraduodenal hernias are rare congenital abnormalities of the small intestine.
  • Associated complications like volvulus, intussusception, and bowel ischemia are uncommon but critical findings.

Observation:

  • An 82-year-old male presented with acute abdominal pain and biliary vomiting.
  • Contrast-enhanced computed tomography (CT) revealed a left paraduodenal hernia.

Findings:

  • The CT scan demonstrated associated findings of volvulus, intussusception, and bowel wall ischemia.
  • Surgical exploration confirmed the radiological diagnosis of these combined acute abdominal pathologies.

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Implications:

  • This case highlights the complex presentation of a left paraduodenal hernia with multiple acute abdominal complications.
  • Early recognition and surgical intervention are crucial for managing such rare and severe gastrointestinal emergencies.