Paraduodenal hernia complicated with intussusception: case report

Chong Jin,Jinggang Mo,Song Wang,Hao Jiang,Guoyu Wang,Yifu Feng

doi:10.1186/s12893-018-0460-x

Chong Jin, Jinggang Mo + Show 4 more

Open Access

https://doi.org/10.1186/s12893-018-0460-x

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Journal: BMC surgery	Publication Date: Dec 1, 2018
Citations: 9	License type: open-access

Affiliation: Taizhou Central Hospital, Taizhou University

Abstract

BackgroundThe diagnosis of paraduodenal hernia is still a challenge in clinical practice due to lacking of specific symptoms. Case presentation: An 83-yr-old male patient presented to our department due to severe abdominal pain for 8 h. Abdominal contrast enhanced computerized tomography (CT) scan indicated intussusception in the duodenum and the upper segment of jejunum, as well as internal hernia. He complaint of progression in the abdominal pain, and then laparoscope was carried out, which indicated left-sided paraduodenal hernia. Subsequently, the patient was transferred to celiotomy, during which slight ischemic changes were noticed in the intestinal canal. Meanwhile, a hernial orifice was noticed in the left orifice of the duodenum. Conclusions: In this case, we presented our experiences on the diagnosis of paraduodenal hernia and intussusception. Our study contributed to the understanding, early diagnosis and selection of surgical options for the surgeons.

Highlights

The diagnosis of paraduodenal hernia is still a challenge in clinical practice due to lacking of specific symptoms
The intussusception was induced by paraduodenal hernia
Paraduodenal hernia is associated with the entry of abdominal organs into the paraduodenal recess

Summary

Introduction

The diagnosis of paraduodenal hernia is still a challenge in clinical practice due to lacking of specific symptoms. Background Paraduodenal hernias, a type of internal abdominal hernima associated with the pathogenesis of intestinal obstruction, is frequently complicated by volvulus and ischemia [1, 2]. The diagnosis of paraduodenal hernias is still a challenge due to lacking of specific clinical findings as most patients usually show abdominal pain and distention, nausea or vomiting. Rare reports on paranuodenal hernias complicated with intussusception are available.

Results

Conclusion