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Intestinal obstruction secondary to left paraduodenal hernia
John R Gusz1, Lauren M Wright2
1Robinson Memorial Hospital, Ravenna, OH, USA.
Journal of Surgical Case Reports
|July 20, 2015
Summary
A rare left paraduodenal hernia caused partial small bowel obstruction in a 69-year-old male. Surgical intervention confirmed the diagnosis and treated the condition, highlighting the importance of timely diagnosis for internal hernias.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Abdominal Imaging
Background:
- Internal hernias, including congenital or acquired types, involve bowel protrusion through peritoneal or mesenteric defects.
- They account for less than 2% of intestinal obstructions, with paraduodenal hernias being the most frequent congenital variant.
Observation:
- A 69-year-old male presented with a two-year history of recurrent abdominal pain, diagnosed with a left paraduodenal hernia (LPDH) and partial small bowel obstruction.
- Computed tomography revealed clustered small bowel loops in the left upper quadrant but lacked diagnostic clarity.
Findings:
- Surgical exploration definitively diagnosed and treated the left paraduodenal hernia.
- This case underscores the diagnostic challenges associated with internal hernias, even with advanced imaging.
Implications:
- Prompt diagnosis and surgical intervention are crucial for managing internal hernias to prevent severe morbidity and mortality.
- This case highlights the need for considering uncommon causes of bowel obstruction, such as LPDH, in patients with persistent abdominal pain.
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