title: An uncommon cause of acute bowel obstruction: the left para-duodenal hernia.
abstract: Internal hernias of the abdomen are uncommon. They represent less than 1% of bowel obstruction cases. The left Paraduodenal hernia (PH) is the most frequent type of internal hernias. We report a case of 77 year- old woman consulting for bowel obstruction evolving since two days. The abdominal computed tomography revealed a retroperitoneal small bowel contained in a peritoneal sac. The surgical exploration confirmed the diagnosis of a left internal PH by showing incarcerated jejunal loops in a PH through a narrow opening to the left of the angle of Treitz. A surgical reduction of the hernia and closure of the hernia neck were performed. The follow-ups were uncomplicated. Through this observation and a literature review, we try to recall the clinical and radiological characteristics of this disease and to clarify the therapeutic modalities.
authors.affiliation: Department of General Surgery, Habib Bourguiba Hospital, 3027 Sfax, Tunisia.
authors.forename: Ayman
authors.initials: A
authors.lastname: Trigui
authors.forename: Ahmed
authors.initials: A
authors.lastname: Guirat
authors.forename: Haitham
authors.initials: H
authors.lastname: Rejab
authors.forename: Nizar
authors.initials: N
authors.lastname: Kardoun
authors.forename: Foued
authors.initials: F
authors.lastname: Frikha
authors.forename: Mohamed B
authors.initials: MB
authors.lastname: Amar
authors.forename: Mohamed I
authors.initials: MI
authors.lastname: Beyrouti
keywords: Computed tomography; internal hernia; paraduodenal hernia; small bowel obstruction
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