A left paraduodenal hernia causing acute bowel obstruction: a case report.
We present the case of a 54-year old woman who presented twice at our emergency department with progressive abdominal pain. Over the last few years, multiple short periods of abdominal pain had occurred: the pain always resolved spontaneously after a few hours. She had no past medical history. CT scan revealed a sac-like mass of small bowel loops to the left of the ligament of Treitz, consistent with the diagnosis of a left paraduodenal hernia. On laparotomy, a left paraduodenal hernia with incarceration of small bowel loops was found; the herniated loops were reduced and the hernia orifice closed. The anatomy, treatment and importance of considering this uncommon diagnosis when examining a patient with acute small bowel obstruction are discussed.
Brehm
V
V
Department of Surgery, Rijnland Hospital, Leiderdorp, The Netherlands.
Smithuis
R
R
Doornebosch
P G
PG
D015746:Abdominal Pain / Q000209:etiology; D004378:Duodenal Diseases / Q000150:complications*; D005260:Female; D006547:Hernia / Q000150:complications*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D007813:Laparotomy; D008875:Middle Aged; D014057:Tomography, X-Ray Computed