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Paraduodenal hernia evoking intermittent abdominal pain

C Meeussen1, M Huyghe, E Deckers

  • 1Department of General Surgery, Sint Augustinus, Wilrijk, Belgium. connymeeussen@pandora.be

Acta Chirurgica Belgica
|June 10, 2006
PubMed

Insights

This case study details a rare internal abdominal hernia involving the proximal jejunum. Early diagnosis and surgical intervention led to a full recovery, highlighting the importance of considering such hernias in acute abdominal cases.

Area of Science:

  • Gastroenterology
  • Surgical Anatomy

Background:

  • Internal abdominal hernias are rare causes of bowel obstruction.
  • Herniation through the Landzert fossa is exceptionally uncommon.

Observation:

  • A patient presented with symptoms suggestive of acute abdomen and bowel obstruction.
  • Preoperative assessment including radiological findings strongly indicated internal hernia.

Findings:

  • Laparotomy confirmed herniation of the proximal jejunum through a defect in the mesocolon transversum within the Landzert fossa.
  • Surgical reduction of the jejunum and repair of the hernia orifice resulted in prompt patient recovery.

Implications:

  • Internal hernias should be considered in the differential diagnosis of acute abdomen, especially with atypical presentations.
  • Computed tomography (CT) is a crucial diagnostic tool, achieving 77% accuracy in diagnosing internal hernias.
Abstract

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