Case Of Paraduodenal Hernia Research Articles

Lessons learnt in the management of paraduodenal hernias: a case series.

Paraduodenal hernias (PDH) are rare congenital internal hernias with non- specific symptoms. Left-sided paraduodenal hernia is three times more common than right-sided paraduodenal hernia with similar clinical presentation but different embryological origins. We report a series of eight cases of paraduodenal hernia who presented with varied clinical presentation ranging from vague abdominal pain to complete intestinal obstruction. Six cases had left-sided paraduodenal hernia, while two cases had right-sided paraduodenal hernia. Seven cases based on their presentation underwent surgery either electively or on emergent basis. Three cases underwent laparoscopic repair. One case had a recurrence and was re-operated four months later. There was no mortality among any of the cases. A pre-operative diagnosis of paraduodenal hernia is essential. Laparoscopic surgery is safe in select cases and is found to be beneficial.

Para-duodenal hernia: a report of five cases and review of literature

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.

Paraduodenal Hernia: A Report of Two Cases

Paraduodenal hernias are uncommon congenital herniations into the mesentery of the colon that present as small bowel obstruction. The diagnosis is elusive but may be made by CT scan or upper gastrointestinal series. There are three types: left, right, and transverse. The repair involves reduction of the hernia and closure of the mesenteric defect in accordance with the anatomy of the hernia. We present two cases of paraduodenal hernia that are representative of this unusual class of internal herniation.

TWO CASES OF PARADUODENAL HERNIA

We experienced two cases of paraduodenal hernia which were found during surgery for other diseases. Case 1 was a 57-year-old man undergoing surgery for carcinoma of the descending colon. During surgery left paraduodenal hernia was found, but no strangulation was observed. Accordingly, the jejunum was repositioned to outside of the hernial sac and left hemicolectomy was performed. Case 2 was a 58-year-old woman undergoing surgery for adenoma of the ascending colon. During surgery right paraduodenal hernia was observed, but there was no finding of strangulation. Therefore, the small intestine was repositioned to outside of the hernial sac and right hemicolectomy was carried out. In both patients, paraduodenal hernia had not been diagnosed preoperatively. On the X-ray films of the abdomen, however, gas-like images were observed at the sites corresponding with the hernial sac. The transillumination of the upper digestive tract conducted at elsewhere before surgery showed images of sacciform accumulation in the small intestine. CT also demonstrated the image of sacciform accumulation in the small intestine. These findings are characteristic of paraduodenal hernia and should be taken into account in the preoperative diagnosis.

胃癌を併存した傍十二指腸ヘルニアの１例

胃癌を併存した傍十二指腸ヘルニアの１例