An Unusual Cause of Small Bowel Obstruction in a Pediatric Patient: Right-Sided Paraduodenal Hernia

2018 ◽  
Vol 84 (9) ◽  
pp. 350-351
Author(s):  
Doris Kim ◽  
Bennett Calder ◽  
Alexander Smith ◽  
Christian Streck
2021 ◽  
Vol 28 (05) ◽  
pp. 755-758
Author(s):  
Sahar Saeed ◽  
Abeera Butt ◽  
Syed Asghar Naqi ◽  
Muhammad Mohsin Ali

Paraduodenal fossa hernias (PDFHs) represent 53% of all congenital internal hernias and 0.2-0.9% of all small bowel obstructions. Most of these hernias are diagnosed incidentally on laparotomy, and carry up to 50% lifetime risk of development of small bowel obstruction. We present our experience in diagnosing and treating a case of a massive left paraduodenal fossa hernia in a 17 year male, containing over 30% of the small bowel (jejunum and ileum), presenting with a history of recurrent incomplete small bowel obstruction. Plain abdominal radiography showed distended loops of jejunum and few air fluid levels. After laparotomy and identification of hernia, small gut was reduced and examined, which was found to be structurally and functionally intact with normal vascularity. The defect was closed with continuous absorbable suture (Vicryl 2-0) sparing the inferior mesenteric vessels. Patient’s post-operative recovery remained uneventful and he was discharged on 4th post-operative day.


2019 ◽  
Vol 12 (12) ◽  
pp. e232134
Author(s):  
Yeo Min Cho ◽  
Gamze Aksakal ◽  
Mohamed Ahmed Tawfik Ashour ◽  
Suzanne Moore

A 34-year-old man presented with acute severe left-sided abdominal and flank pain with associated postprandial nausea and vomiting. CT imaging revealed findings suspicious for a closed loop small bowel obstruction. Intraoperative findings were that of a left paraduodenal hernia (of Landzert) secondary to a mesenteric defect immediately posterior to the ascending branch of the left colic artery. The defect was closed via minilaparotomy. Unfortunately, his postoperative course was complicated by small bowel obstruction which required further laparotomy and adhesiolysis. The patient eventually made a good recovery. Here, we present a rare case of intestinal obstruction and discuss the aetiologies and management of this unusual phenomenon.


2009 ◽  
Vol 35 (5) ◽  
pp. 571-573 ◽  
Author(s):  
Asif Abdullah ◽  
Haitham Elsamaloty ◽  
Yogesh Patel ◽  
Mario Castillo-Sang

2014 ◽  
Vol 18 (7) ◽  
pp. 1377-1378 ◽  
Author(s):  
Benjamin R. Poh ◽  
Senthilkumar R. Sundaramurthy ◽  
Naseem Mirbagheri

2016 ◽  
pp. bcr2015209678 ◽  
Author(s):  
L Barbosa ◽  
A Ferreira ◽  
A A Póvoa ◽  
J P Maciel

2009 ◽  
Vol 53 (6) ◽  
pp. 369 ◽  
Author(s):  
Eun Young Cho ◽  
Chang Soo Choi ◽  
Nam Jin Yoo ◽  
Eui Tae Hwang ◽  
Jun Young Lee ◽  
...  

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