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. 2012:2012:501209.
doi: 10.1155/2012/501209. Epub 2012 Jun 26.

Acute intestinal obstruction: a rare aetiology

Shamita Chatterjee  1 , Souvik Chatterjee, Sanjeev Kumar, Shahana Gupta
Affiliations

Acute intestinal obstruction: a rare aetiology

Shamita Chatterjee et al. Case Rep Surg. 2012.

Abstract

Internal herniation of small intestine is a very rare entity, and it poses a real diagnostic challenge clinically. Recurrent entrapment of the bowel may lead to partial to complete intestinal obstruction and eventually strangulation of the small bowel. Of this rare clinical entity, left paraduodenal hernia is more common. High index of suspicion with prompt management may prevent bowel strangulation and gangrene. We present a case of acute intestinal obstruction due to left paraduodenal hernia with malrotation of midgut in a 55-year-old male patient.

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Figures

Figure 1
Figure 1
Entire small gut in the left paraduodenal area enclosed in a hernia sac.
Figure 2
Figure 2
Inferior mesenteric vein situated on the right free margin of hernia sac.
See this image and copyright information in PMC

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