An uncommon cause of acute bowel obstruction: the left para-duodenal hernia

Internal hernias of the abdomen are uncommon. They represent less than 1% of bowel obstruction cases. The left Paraduodenal hernia (PH) is the most frequent type of internal hernias. We report a case of 77 year- old woman consulting for bowel obstruction evolving since two days. The abdominal comput...

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Bibliographic Details
Published inNigerian journal of surgery Vol. 18; no. 2; pp. 97 - 99
Main Authors Trigui, Ayman, Guirat, Ahmed, Rejab, Haitham, Kardoun, Nizar, Frikha, Foued, Amar, Mohamed B, Beyrouti, Mohamed I
Format Journal Article
LanguageEnglish
Published India Medknow Publications and Media Pvt. Ltd 01.07.2012
Medknow Publications & Media Pvt Ltd
Wolters Kluwer Medknow Publications
Subjects
Abdominal hernia
Care and treatment
Case Report
Case studies
Causes of
Computed tomography
Diagnosis
Duodenum
internal hernia
Obstruction
paraduodenal hernia
small bowel obstruction
internal hernia
paraduodenal hernia
Computed tomography
small bowel obstruction
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Summary:Internal hernias of the abdomen are uncommon. They represent less than 1% of bowel obstruction cases. The left Paraduodenal hernia (PH) is the most frequent type of internal hernias. We report a case of 77 year- old woman consulting for bowel obstruction evolving since two days. The abdominal computed tomography revealed a retroperitoneal small bowel contained in a peritoneal sac. The surgical exploration confirmed the diagnosis of a left internal PH by showing incarcerated jejunal loops in a PH through a narrow opening to the left of the angle of Treitz. A surgical reduction of the hernia and closure of the hernia neck were performed. The follow-ups were uncomplicated. Through this observation and a literature review, we try to recall the clinical and radiological characteristics of this disease and to clarify the therapeutic modalities.
ISSN:1117-6806
2278-7100
DOI:10.4103/1117-6806.103117