Diagnostic laparoscopy and laparoscopic repair of a left paraduodenal hernia can shorten hospital stay.
Paraduodenal hernias are the most common forms of intraabdominal hernias, accounting for 53% of all internal hernias. However, these account for only 0.2% to 0.9% of all small intestinal obstructions overall. Patients usually report vague abdominal pains and discomfort lasting for many years. Furthermore, in-patient diagnosis and management can last up to several weeks due to its rarity and unusual presentation. We report a case of a left paraduodenal hernia in an 18-year-old male who presented with abrupt onset of abdominal pain, nausea, and vomiting. He was subsequently managed by diagnostic laparoscopy and laparoscopic repair, which decreased the overall in-patient care to 2 days.
Moon
Christopher H
CH
Department of Surgery, Tripler Army Medical Center, Honolulu, Hawaii 96859-5000, USA. Christopher.Moon@amedd.army.mil
Chung
Mathew H
MH
Lin
Kevin M
KM
D000293:Adolescent; D004386:Duodenum; D006547:Hernia / Q000175:diagnosis*; D059685:Herniorrhaphy; D006801:Humans; D007579:Jejunal Diseases / Q000175:diagnosis* / Q000601:surgery*; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male