title: Left paraduodenal hernia presenting as recurrent small bowel obstruction.
abstract: Internal herniation of the small bowel is a relatively rare cause of intestinal obstruction. Left paraduodenal hernia resulting from abnormal rotation of the midgut during embryonic development is the most common form of congenital internal hernia. We report our experience in the diagnosis and management of a young male with left paraduodenal hernia presenting as recurrent intestinal obstruction. Correct preoperative diagnosis of left paraduodenal hernia had been difficult due to non-specific clinical presentations, but the advent of modern imaging technology makes early and correct diagnosis possible. Due to the risk of obstruction and strangulation, surgical treatment is indicated; however, timely intervention increases the likelihood of a favorable outcome.
authors.affiliation: Department of Surgery, Buddhist Tzu-Chi General Hospital, No. 707, Sec. 3, Chung Yang Road, Hualien City, Hualien County 970, Taiwan, China. y.m.huang@yahoo.com.tw
authors.forename: Yu-Min
authors.initials: YM
authors.lastname: Huang
authors.forename: Andy Shau-Bin
authors.initials: AS
authors.lastname: Chou
authors.forename: Yung-Kang
authors.initials: YK
authors.lastname: Wu
authors.forename: Chao-Chuan
authors.initials: CC
authors.lastname: Wu
authors.forename: Ming-Che
authors.initials: MC
authors.lastname: Lee
authors.forename: Haw-Tzong
authors.initials: HT
authors.lastname: Chen
authors.forename: Yao-Jen
authors.initials: YJ
authors.lastname: Chang
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004378:Duodenal Diseases / Q000150:complications* / Q000473:pathology; D004386:Duodenum / Q000473:pathology*; D006547:Hernia / Q000150:complications* / Q000473:pathology; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000473:pathology; D008297:Male