title: Diagnosis and treatment of symptomatic right paraduodenal hernia: report of a case.
abstract: We report a typical case of right paraduodenal hernia (RPH) and review the literature on the pathogenesis, diagnosis and treatment of this uncommon entity. A 32-year-old woman was hospitalized with acute abdominal cramps, nausea, and vomiting. Computed tomography (CT) findings suggested RPH, which was confirmed by explorative laparoscopy. We performed an open repair by suturing the orifice after reducing the hernia. At her 2-year follow-up, the patient reported complete resolution of her symptoms. Because RPH is rare and its clinical signs are nonspecific, radiological examinations are essential for a correct preoperative diagnosis. CT is currently the most accurate diagnostic tool, but laparoscopy may be necessary to confirm the diagnosis. This hernia can be repaired by simple suturing of the hernial orifice, either laparoscopically or via an open procedure, although several authors consider complete intestinal derotation to be the best option.
authors: 1st Institute of General Surgery, San Giovanni di Dio Hospital, University of Cagliari, Cagliari, Italy, erdasenrico@libero.it.
authors: Enrico
authors: E
authors: Erdas
authors: Antonella
authors: A
authors: Pitzalis
authors: Daniela
authors: D
authors: Scano
authors: Sergio
authors: S
authors: Licheri
authors: Mariano
authors: M
authors: Pomata
authors: Giampaolo
authors: G
authors: Farina
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006551:Hernia, Hiatal / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome