Left paraduodenal hernia: A rare cause of acute abdomen

Paraduodenal hernia is a rare congenital anomaly that arises from an error of rotation of the midgut. The duodenum and the small intestine become trapped in a sac which is lined by the peritoneum, behind the mesentery of the colon, either to the right or left of the midline. It is therfore a rare an...

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Bibliographic Details
Published in:The Pan African medical journal 2014, Vol.17 (230), p.230-230
Main Authors: Hassani, Karim Ibn Majdoub, Aggouri, Younes, Laalim, Said Ait, Toughrai, Imane, Mazaz, Khalid
Format: Article
Language:English
Subjects:
Abdomen, Acute - diagnosis
Abdomen, Acute - etiology
Abdomen, Acute - surgery
acute abdomen
Case Report
Duodenal Diseases - complications
Duodenal Diseases - diagnosis
Duodenal Diseases - surgery
Hernia - complications
Hernia - diagnosis
Herniorrhaphy
Humans
Intraoperative Period
left
Male
Middle Aged
paraduodenal hernia
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Summary:Paraduodenal hernia is a rare congenital anomaly that arises from an error of rotation of the midgut. The duodenum and the small intestine become trapped in a sac which is lined by the peritoneum, behind the mesentery of the colon, either to the right or left of the midline. It is therfore a rare and potentially life-threatening condition that can cause intestinal obstruction progressing to strangulation and perforation. We report a case of a 55-year-old patient presenting a left paraduodenal hernia diagnosed intraoperatively after being operated on in the emergency setting for acute abdomen. The small bowel was twisted upon its mesentery and was entrapped in a large left paraduodenal space. Fortunately, once the bowel was reduced from the paraduodenal space, the blood flow was reestablished and the small bowel resumed a proper functioning. The mouth of the sac was obliterated by suture opposition to the posterior wall. The patient's subsequent hospital course was uneventful, and he was discharged in satisfactory condition 4 days postoperatively.
ISSN:1937-8688
1937-8688
DOI:10.11604/pamj.2014.17.230.3546