title: [Left paraduodenal hernia].
abstract: A left paraduodenal hernia is a protrusion of the small intestine through the paraduodenal fossa, a congenital defect situated to the left of the fourth portion of the duodenum. Imaging studies often play a central role in diagnosing left paraduodenal hernias, as they are not easily identified clinically. Surgery is the treatment of choice. We report a case of left paraduodenal hernia in a 27-year-old female patient. The patient had shown no symptoms until six days before hospitalization. A CT scan suggested the diagnosis of left paraduodenal hernia. After an unsuccessful laparoscopic attempt, a laparotomy was performed. Open surgery consisted in removing adhesions between the hernia and peritoneum, reducing jejunal loops and closing the paraduodenal fossa. The postoperative period was uneventful, and the patient was discharged on the third postoperative day.
authors.affiliation: Departamento de Cirurgia, Faculdade de Medicina de Valença, RJ, BR. joaquimf.depaula@uol.com.br
authors.forename: Joaquim Ferreira
authors.initials: JF
authors.lastname: de Paula
authors.forename: Carlos Augusto Marques
authors.initials: CA
authors.lastname: Batista
authors.forename: Gerson França
authors.initials: GF
authors.lastname: Leite
authors.forename: Adele Gonzales
authors.initials: AG
authors.lastname: Rodrigues
mesh_terms: D000328:Adult; D004378:Duodenal Diseases / Q000000981:diagnostic imaging; D005260:Female; D006547:Hernia / Q000000981:diagnostic imaging; D006801:Humans; D014057:Tomography, X-Ray Computed