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. 2010;1(2):19-21.
doi: 10.1016/j.ijscr.2010.06.003. Epub 2010 Oct 8.

A case of a paraduodenal hernia

Ross Downes  1 , Shamir O Cawich
Affiliations

A case of a paraduodenal hernia

Ross Downes et al. Int J Surg Case Rep. 2010.

Abstract

Paraduodenal hernias are rare hernias that result from error of rotation of the mid-gut. It can be discovered incidentally at laparotomy, seen on radiological imagining or infrequently cause intestinal obstruction. We report a case of a left paraduodenal hernia diagnosed intraoperatively after being operated on in the emergency setting for generalized peritonitis. He required resection of multiple loops of small bowel with primary anastomosis. The mouth of the sac was obliterated by suture apposition to the posterior wall. The patient was discharged on day 4 after an uneventful recovery.

Keywords: Emergency laparotomy; Intestinal obstruction; Paraduodenal hernia; Peritonitis.

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Figures

Fig. 1
Fig. 1
Left paraduodenal hernial sac.
Fig. 2
Fig. 2
Small bowel mesentery caught in hernial sac resulting in gangrene of mid-jejunum.
Fig. 3
Fig. 3
Multiple loops of gangrenous small bowel.
See this image and copyright information in PMC

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