title: Left paraduodenal hernia: A rare cause of acute abdomen.
abstract: Paraduodenal hernia is a rare congenital anomaly that arises from an error of rotation of the midgut. The duodenum and the small intestine become trapped in a sac which is lined by the peritoneum, behind the mesentery of the colon, either to the right or left of the midline. It is therfore a rare and potentially life-threatening condition that can cause intestinal obstruction progressing to strangulation and perforation. We report a case of a 55-year-old patient presenting a left paraduodenal hernia diagnosed intraoperatively after being operated on in the emergency setting for acute abdomen. The small bowel was twisted upon its mesentery and was entrapped in a large left paraduodenal space. Fortunately, once the bowel was reduced from the paraduodenal space, the blood flow was reestablished and the small bowel resumed a proper functioning. The mouth of the sac was obliterated by suture opposition to the posterior wall. The patient's subsequent hospital course was uneventful, and he was discharged in satisfactory condition 4 days postoperatively.
authors.affiliation: Faculté de Médecine et de Pharmacie de Fès, Université Sidi Mohammed Ben Abdellah, Département de Chirurgie, CHU Hassan II, Fès, Maroc.
authors.forename: Karim Ibn Majdoub
authors.initials: KI
authors.lastname: Hassani
authors.affiliation: Faculté de Médecine et de Pharmacie de Fès, Université Sidi Mohammed Ben Abdellah, Département de Chirurgie, CHU Hassan II, Fès, Maroc.
authors.forename: Younes
authors.initials: Y
authors.lastname: Aggouri
authors.affiliation: Faculté de Médecine et de Pharmacie de Fès, Université Sidi Mohammed Ben Abdellah, Département de Chirurgie, CHU Hassan II, Fès, Maroc.
authors.forename: Said Ait
authors.initials: SA
authors.lastname: Laalim
authors.affiliation: Faculté de Médecine et de Pharmacie de Fès, Université Sidi Mohammed Ben Abdellah, Département de Chirurgie, CHU Hassan II, Fès, Maroc.
authors.forename: Imane
authors.initials: I
authors.lastname: Toughrai
authors.affiliation: Faculté de Médecine et de Pharmacie de Fès, Université Sidi Mohammed Ben Abdellah, Département de Chirurgie, CHU Hassan II, Fès, Maroc.
authors.forename: Khalid
authors.initials: K
authors.lastname: Mazaz
mesh_terms: D000006:Abdomen, Acute / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D004378:Duodenal Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006547:Hernia / Q000150:complications* / Q000175:diagnosis; D059685:Herniorrhaphy; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D008875:Middle Aged
keywords: Paraduodenal hernia; acute abdomen; left