A rare cause of small bowel obstruction in adults: left paraduodenal internal hernia.
A 47 years old lady presented with repeated intermittent, colicky, left upper, and periumblical abdominal pain associated with nausea and vomiting since two years prior to admission. Each episode of the pain spontaneously subsided after bilious vomiting. The patient had no history of surgery, abdominal trauma or intra-abdominal infection, weight loss or previous history for small bowel obstruction (SBO). MRI enterography was suggestive of internal hernia and surgery documented left paraduodenal (mesocolic) internal hernia (LPDIH). After surgery the patient was followed for three months without any abdominal symptoms.
Fellow of Gastroenterology, Department of Gastroenterology, Imam Khomeini Hospital, Sari, Mazandaran, Iran.
Hossein
H
Sardarian
Associate professor, Department of Gastroenterology, Imam Khomeini Hospital, Sari, Mazandaran, Iran.
Iradj
I
Maleki
Resident of General Surgery, Department of Surgery, Imam Khomeini Hospital, Sari, Mazandaran, Iran.
Meisam
M
Mortazian
Resident of Radiology, Department of Radiology, Imam Khomeini Hospital, Sari, Mazandaran, Iran.
Ramezan
R
Jafari
Resident of General Surgery, Department of Surgery, Imam Khomeini Hospital, Sari, Mazandaran, Iran.
Pouya
P
Tayebi
Professor,Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Mehdi
M
Saberifiroozi
Congenital hernia; Paraduodenal (mesocolic) internal hernia; Small bowel obstruction (SBO)