An uncommon cause of acute bowel obstruction: The left para-duodenal hernia

Autor: Ayman Trigui, Ahmed Guirat, Haitham Rejab, Nizar Kardoun, Foued Frikha, Mohamed B Amar, Mohamed I Beyrouti
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: Nigerian Journal of Surgery, Vol 18, Iss 2, Pp 97-99 (2012)
Druh dokumentu: article
ISSN: 1117-6806
2278-7100
DOI: 10.4103/1117-6806.103117
Popis: Internal hernias of the abdomen are uncommon. They represent less than 1% of bowel obstruction cases. The left Paraduodenal hernia (PH) is the most frequent type of internal hernias. We report a case of 77 year- old woman consulting for bowel obstruction evolving since two days. The abdominal computed tomography revealed a retroperitoneal small bowel contained in a peritoneal sac. The surgical exploration confirmed the diagnosis of a left internal PH by showing incarcerated jejunal loops in a PH through a narrow opening to the left of the angle of Treitz. A surgical reduction of the hernia and closure of the hernia neck were performed. The follow-ups were uncomplicated. Through this observation and a literature review, we try to recall the clinical and radiological characteristics of this disease and to clarify the therapeutic modalities.
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