Incarcerated left paraduodenal hernia case report and literature review
Introduction:
Left paraduodenal hernia is an internal herniation that develops due to anomalous fetal development. If incarcerated, it becomes an unusual cause of acute abdomen.
Case Report:
This case report presents an uncommon case of a 39-year-old man with acute abdominal pain with vomiting. The patients medical history included recurrent subileous events and Crohn´s disease in long-term remission. CT scan of abdominal cavity indicated a possible mechanical obstruction of small bowel loops in the upper left abdominal quadrant. Incarcerated left paraduodenal herniation was identified during surgery. Repositioned small bowel loops did not require resection and the entrance of Landzert´s fossa was sutured.
Conclusion:
Left paraduodenal hernia is the most common congenital internal herniation. Although rare, it should be considered in the differential diagnosis of acute abdomen.
Insights
Left paraduodenal hernia, a congenital internal herniation, can cause acute abdomen when incarcerated. This case highlights its importance in differential diagnosis for abdominal pain.
Area of Science:
- Gastroenterology
- Surgical Anatomy
Background:
- Left paraduodenal hernia is a rare congenital internal herniation resulting from anomalous fetal development.
- It can present as an unusual cause of acute abdomen when incarcerated.
Observation:
- A 39-year-old male presented with acute abdominal pain and vomiting, with a history of recurrent subileus and Crohn's disease.
- CT scan revealed a possible small bowel obstruction in the left upper quadrant.
Findings:
- Surgical exploration confirmed an incarcerated left paraduodenal hernia.
- The herniated small bowel loops were successfully repositioned without resection, and the Landzert's fossa was sutured.
Implications:
- This case underscores the necessity of considering left paraduodenal hernia in the differential diagnosis of acute abdominal conditions.
- Early recognition and surgical intervention are crucial for managing this rare but potentially serious condition.
