Cover Image

A RARE CASE OF RIGHT PARADUODENAL HERNIA CAUSING INTESTINAL OBSTRUCTION

KRISHNAKUMAR T THIRUNAVUKARASU

Abstract


An internal abdominal herniation is the protrusion of an abdominal organ through a normal or abnormal     mesenteric or peritoneal aperture. Internal hernias are  uncommon causes of small bowel obstructions. Paraduodenal hernias are the most common causes of internal hernias. Correct preoperative diagnosis of paraduodenal hernia had been difficult due to non-specific clinical presentations, but the advent of modern imaging technology makes early and  correct diagnosis possible. The number of these cases   reported in literature is sparse making it a rare form of hernia necessitating detailed study. Both lap and open methods are used. A case of Right paraduodenal hernia is reported along with the review of literature

 


Full Text:

PDF

References


Blachar A, Federle MP. Internal hernia: an increasingly common cause of small bowel obstruction. Semin Ultrasound CT MRI 2002; 23:174-183.

Shinohara T, Okugawa K, Furuta C. Volvulus of the small intestine caused by right paraduodenal hernia: a case report. J Pediatr Surg 2004; 39:e8-e9.

Manji R, Warnock GL. Left paraduodenal hernia: an unusual cause of small bowel obstruction. Can J Surg 2001; 46:455-456.

Okino Y, Kiyosue H, Mori H, et al. Root of small bowel mesentery: correlative anatomy and CT features of pathological conditions. Radiographics 2001; 21:1475-1490.

Peltier J, Le Gars D, Page C, Yzet T, Laude M. The duodenal fossae: antomic study and clinical correlations. Surg Radiol Anat 2005; 27:303-307.

Papaziogas B, Souparis A, Makris J, Alexandrakis A, Papziogas T. Surgical images: Soft tissue. Right paraduodenal hernia. Can J Surg 2004; 47:195-196.

. Osadchy A, Weisenberg N, Wiener Y, Shapiro- Feinberg M, Zissin R. Small bowel obstruction related to left side paraduodenal hernia: CT findings. Abdom Imaging 2005 Jan-Feb.; 30(1): 53-5.

Finick CM, Barker S, Simon H, Marx W. A novel diagnosis of left paraduodenal hernia through laparoscopy. Surg Endosc 2000 Jan; 14(1): 87.

Palanivelu C, Rangarajan M, Jategaonkar PA, Anand NV, Senthilkumar K. laparoscopic management of paraduodenal hernias: mesh and meshless repairs. A report of four cases. Hernia 2008 Dec; 12(6): 649-53.

Jeong GA, Cho GS, Kim HC, Shin EJ, Song Op. Laparoscopic repair of paraduodenal hernia: comparison with conventional open repair. Surg Laparosc Endoscp.Percut Tech. 2008 Dec; 18(6): 611-5. and left-sided paraduodenal hernias for the rest.A right-sided paraduodenal hernia is also called mesentericoparietal or congenital mesocolic hernia. Anatomically there are a number of paraduodenal fossae. The most important ones are the left paraduodenal fossa or fossa of Landzert and the right paraduodenal fossa or the fossa of Waldeyer.


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An Initiative of The Tamil Nadu Dr MGR Medical University