Paraduodenal hernia evoking intermittent abdominal pain
C Meeussen1, M Huyghe, E Deckers
1Department of General Surgery, Sint Augustinus, Wilrijk, Belgium. connymeeussen@pandora.be
Acta Chirurgica Belgica
|June 10, 2006
Summary
This case study details a rare internal abdominal hernia involving the proximal jejunum. Early diagnosis and surgical intervention led to a full recovery, highlighting the importance of considering such hernias in acute abdominal cases.
Area of Science:
- Gastroenterology
- Surgical Anatomy
Background:
- Internal abdominal hernias are rare causes of bowel obstruction.
- Herniation through the Landzert fossa is exceptionally uncommon.
Observation:
- A patient presented with symptoms suggestive of acute abdomen and bowel obstruction.
- Preoperative assessment including radiological findings strongly indicated internal hernia.
Findings:
- Laparotomy confirmed herniation of the proximal jejunum through a defect in the mesocolon transversum within the Landzert fossa.
- Surgical reduction of the jejunum and repair of the hernia orifice resulted in prompt patient recovery.
Implications:
- Internal hernias should be considered in the differential diagnosis of acute abdomen, especially with atypical presentations.
- Computed tomography (CT) is a crucial diagnostic tool, achieving 77% accuracy in diagnosing internal hernias.
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