Paraduodenal hernia evoking intermittent abdominal pain
C Meeussen1, M Huyghe, E Deckers
1Department of General Surgery, Sint Augustinus, Wilrijk, Belgium. connymeeussen@pandora.be
Purpose:
Description of a very rare case of internal abdominal hernia, namely herniation of the proximal jejunum in the Landzert fossa, through a hole in the mesocolon transversum.
Material And Methods:
Based on preoperative history, clinical state and radiological findings, the diagnosis of internal hernia was strongly suspected.
Results:
Suspected diagnosis was confirmed during laparotomy. After reduction of the jejunum and closure of the hernia orifice, the patient recovered promptly.
Conclusion:
The diagnosis of internal herniation should always be considered in every patient who presents with an acute abdomen, signs of (sub)obstruction and non-typical history. The most important diagnostic tool is computer tomography, that is accurate in 77%.
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