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Related Concept Videos

Hiatal Hernia01:25

Hiatal Hernia

144
A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or...
144

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Left Paradoudenal Hernia: A Case Report.

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  • 1Professor Dr Md Kamruzzaman Khan, Professor of Surgery (Retd), 53 Green Road, Green Tower, Flat- B/4, Kalabagan, Dhaka-1205, Bangladesh;

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|December 31, 2025
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Summary
This summary is machine-generated.

A 32-year-old male presented with acute intestinal obstruction due to jejunal volvulus. Emergency surgery revealed a left paraduodenal hernia with gangrenous jejunum, necessitating resection and anastomosis.

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Area of Science:

  • Gastroenterology
  • Surgical Case Report

Background:

  • Acute intestinal obstruction is a surgical emergency.
  • Left paraduodenal hernias are rare congenital abnormalities that can lead to bowel obstruction.

Purpose of the Study:

  • To report a rare case of acute intestinal obstruction caused by a left paraduodenal hernia.
  • To highlight the diagnostic and management challenges associated with this condition.

Main Methods:

  • A 32-year-old male presented with acute abdomen.
  • Diagnostic workup included history, physical examination, and investigations.
  • Emergency laparotomy was performed for definitive management.

Main Results:

  • The patient was diagnosed with acute intestinal obstruction secondary to jejunal volvulus.
  • Intraoperative findings revealed a left paraduodenal hernia complicated by a gangrenous jejunum.
  • Successful resection of the gangrenous segment and duodenojejunal anastomosis were performed.

Conclusions:

  • Left paraduodenal hernia can present as acute intestinal obstruction with bowel ischemia.
  • Prompt surgical intervention is crucial for favorable outcomes in such cases.