Abstract
BackgroundPara-duodenal hernia (PDH) represents rare clinical entities based on few literatures.Case presentationWe report five cases of Para-duodenal hernia, all occurring in male patients ranging from 34 to 75 years of age. The patients had varied manifestations presenting with abdominal pain with or without vomiting and nausea and with or without signs of intestinal obstruction. CT images showed cluster of dilated bowel segments with displaced mesenteric vessels at hernial orifice. Laparoscopic surgical approach was adopted, and the patients were discharged about a week later without further complications.ConclusionWe hope to raise awareness about the management of this rare clinical entity and the benefits of CT imaging and laparoscopic surgery as standard approaches.
Highlights
Para-duodenal hernia (PDH) represents rare clinical entities based on few literatures
We report five cases of PDH and their management based on a review of literatures
The entrapped intestinal loop was reduced, and the defect was repaired. He was diagnosed with left paraduodenal hernia and was discharged on 7th post-operative day
Summary
Para-duodenal hernia (PDH) represents rare clinical entities based on few literatures. The right para-duodenal hernia (RPDH) occurs when the small bowel herniates through a defect in the first part of the jejunal mesentery in the so called Waldeyer’s fossa. Case 1 A 68-year-old man complained left middle abdominal pain for 10 days. His abdominal CT scan showed that a part of small intestine and its mesentery were folded together on the left side of the abdomen (Fig. 1).
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