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A left paraduodenal hernia causing bowel obstruction: a case report.
Mohammad Mozaffar1, Mohammad Hasani1, Mahtab Fallah1
1Department of Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Gastroenterology and Hepatology From Bed to Bench
|May 17, 2014
Summary
A rare left paraduodenal hernia caused acute intestinal obstruction in a patient with intellectual disability. Surgical repair resolved the obstruction, highlighting the importance of considering this uncommon cause of bowel obstruction.
Area of Science:
- Gastroenterology
- Surgical Anatomy
- Abdominal Imaging
Background:
- Intestinal obstruction is a common surgical emergency.
- Paraduodenal hernias are rare congenital anomalies, often asymptomatic.
- Left paraduodenal hernias account for a small percentage of all internal hernias.
Observation:
- A 41-year-old male with intellectual disability presented with acute symptoms of vomiting and constipation.
- Abdominal X-ray confirmed intestinal obstruction.
- Laparotomy revealed a left paraduodenal hernia without bowel incarceration.
Findings:
- The herniated small bowel loops were successfully reduced.
- The paraduodenal hernia orifice was surgically closed.
- This case highlights a rare cause of acute small bowel obstruction.
Implications:
- Left paraduodenal hernias should be considered in the differential diagnosis of acute small bowel obstruction, especially in atypical presentations.
- Prompt surgical intervention is crucial for managing incarcerated hernias.
- Understanding the anatomical variations of paraduodenal hernias is vital for surgeons.