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Left paraduodenal hernia - A diagnostic challenge: Case report.
Dragan Manojlović1, Nenad Čekić2, Mario Palinkaš1
1National Memorial Hospital Vukovar, Department of Surgery, Croatia.
International Journal of Surgery Case Reports
|July 13, 2021
Summary
Diagnosing internal hernias like paraduodenal hernias can be challenging due to non-specific symptoms. Computed tomography (CT) is the preferred diagnostic tool, with open surgery offering successful treatment outcomes.
Area of Science:
- Gastroenterology and Surgical Innovation
Background:
- Internal hernias involve intestinal loops passing through mesenteric or peritoneal openings.
- Paraduodenal hernias are the most common type of internal hernia, accounting for 53% of cases.
- Variable and non-specific clinical presentations complicate accurate diagnosis.
Purpose of the Study:
- To present a case of left paraduodenal hernia (LPDH) with non-specific symptoms.
- To highlight the diagnostic utility of computed tomography (CT) for internal hernias.
- To demonstrate the successful surgical management of LPDH.
Main Methods:
- Case report of a 39-year-old male patient presenting with sudden abdominal pain.
- Diagnosis confirmed via computed tomography (CT) scan.
- Successful open surgical repair of the left paraduodenal hernia.
Main Results:
- Computed tomography (CT) effectively diagnosed the left paraduodenal hernia.
- Open surgical intervention resulted in a successful outcome for the patient.
- The case underscores the diagnostic challenges and effective treatment of LPDH.
Conclusions:
- Paraduodenal hernias present with a wide range of symptoms, from asymptomatic to severe.
- Accurate diagnosis remains the primary challenge in managing paraduodenal hernias.
- Computed tomography (CT) is the optimal imaging modality for diagnosis, and both open and laparoscopic surgical approaches yield similar successful results.
