title: Left-sided paraduodenal hernia: report of a case.
abstract: Paraduodenal hernias are rare congenital malformations consisting of incomplete rotation of the midgut, which may lead to intestinal obstruction or simply be detected as an incidental finding at autopsy or laparotomy. We report a case of left paraduodenal hernia diagnosed preoperatively by computed tomography and operated on in an emergency setting for signs of peritoneal irritation. A misdiagnosis had been made when the patient suffered his first attack 6 months earlier and he had been treated for familial Mediterranean fever. We reduced the small bowel loops from the left paraduodenal hernia sac with ligation and transection of the inferior mesenteric vessels. The patient was discharged from hospital on postoperative day 4 after an uneventful recovery.
authors.affiliation: Department of General Surgery, Marmara University School of Medicine, Tophanelioglu cad Altunizade, Istanbul, Turkey.
authors.forename: Asim
authors.initials: A
authors.lastname: Cingi
authors.forename: Pakize
authors.initials: P
authors.lastname: Demirkalem
authors.forename: Manuk N
authors.initials: MN
authors.lastname: Manukyan
authors.forename: Davut
authors.initials: D
authors.lastname: Tuney
authors.forename: Cumhur
authors.initials: C
authors.lastname: Yegen
mesh_terms: D000328:Adult; D004386:Duodenum / Q000002:abnormalities; D006547:Hernia / Q000151:congenital*; D059685:Herniorrhaphy; D006801:Humans; D007583:Jejunum / Q000002:abnormalities; D008297:Male