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Right-sided paraduodenal hernia with malrotation - A case report
Navin Poudel1, Aramva Bikram Adhikari1, Kshitiz Acharya1
1Maharajgunj Medical Campus, Tribhuvan University Institute of Medicine, Maharajgunj, Nepal.
Right-sided paraduodenal hernia, a rare internal hernia, can cause abdominal pain and vomiting due to small bowel herniation. Surgical repair is necessary due to the risk of strangulation and obstruction.
Area of Science:
- Gastroenterology
- Surgical Anatomy
- Congenital Abnormalities
Background:
- Paraduodenal hernia is a rare cause of internal hernia, resulting from congenital malrotation of the primitive midgut.
- It involves herniation of the small bowel through a peritoneal sac near the duodenum.
Observation:
- A 36-year-old male presented with chronic abdominal fullness, upper abdominal pain, and recurrent vomiting.
- Abdominal CT scan suggested a right-sided paraduodenal hernia.
Findings:
- Surgical exploration confirmed a right-sided paraduodenal hernia.
- The patient underwent successful hernia repair and was discharged without complications.
Implications:
- Paraduodenal hernias often present with non-specific symptoms, leading to delayed diagnosis.
- These hernias carry a significant risk of strangulation and bowel obstruction, necessitating surgical intervention.
- Optimal surgical techniques for paraduodenal hernia repair require further investigation.
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