title: A left paraduodenal hernia causing acute bowel obstruction: a case report.
abstract: 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.
authors.affiliation: Department of Surgery, Rijnland Hospital, Leiderdorp, The Netherlands.
authors.forename: V
authors.initials: V
authors.lastname: Brehm
authors.forename: R
authors.initials: R
authors.lastname: Smithuis
authors.forename: P G
authors.initials: PG
authors.lastname: Doornebosch
mesh_terms: 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