title: [Left paraduodenal hernia: a case report and review of the literature].
abstract: Paraduodenal hernia is a rare internal congenital hernia due to an embryological abnormality. It is often associated with non-specific abdominal symptoms. In this report the authors describe the case of a woman who was referred to the emergency ward for intestinal obstruction. Preliminary examinations (x-ray and computed tomography scan) failed to yield a clear diagnosis. The patient underwent a surgical procedure and a left paraduodenal hernia was diagnosed. A sound knowledge of embryological anatomy is essential for safe, effective surgical treatment of such internal hernias. A review of the literature confirms that this congenital abnormality is rare and that its diagnosis is the most difficult step in its therapeutic management.
authors.affiliation: U.O.C. Chirurgia d'Urgenza e Vascolare, Ospedale Belcolle, Viterbo.
authors.forename: Pietro Maria
authors.initials: PM
authors.lastname: Amodio
authors.forename: Aldo
authors.initials: A
authors.lastname: Alberti
authors.forename: Eugenio
authors.initials: E
authors.lastname: Bigonzoni
authors.forename: Maurizio
authors.initials: M
authors.lastname: Piciollo
authors.forename: Tiziano
authors.initials: T
authors.lastname: Fortunati
authors.forename: Domenico
authors.initials: D
authors.lastname: Alberti
mesh_terms: D004378:Duodenal Diseases / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006547:Hernia / Q000175:diagnosis; D059685:Herniorrhaphy; D006801:Humans; D008875:Middle Aged