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Review
. 2010 Nov 23:2010:bcr0420102936.
doi: 10.1136/bcr.04.2010.2936.

Left paraduodenal hernia: case report and review of the literature

Gavin A Falk  1 , Basil J Yurcisin, Harry S Sell
Affiliations
Review

Left paraduodenal hernia: case report and review of the literature

Gavin A Falk et al. BMJ Case Rep. .

Abstract

Paraduodenal hernias are congenital internal hernias that usually present with non-specific symptoms, and are therefore rarely diagnosed preoperatively. Left-sided paraduodenal hernias are three times more likely to occur than right-sided ones. Both hernias present similarly, but have a differing embryological basis. Here, the case of a 76-year-old woman with a left paraduodenal hernia presenting with small bowel obstruction is presented, and a brief discussion of the literature on its diagnosis and management given.

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Conflict of interest statement

Competing interests None.

Figures

Figure 1
Figure 1
Scout film showing dilated loops of small bowel in left upper quadrant.
Figure 2
Figure 2
CT scan showing dilated loops of small bowel in left upper quadrant and the hernial neck (arrow).
Figure 3
Figure 3
Illustration showing a loop of small bowel prolapsing (curved arrow) through Landzert's fossa, located behind the inferior mesenteric vein and left colic artery (straight arrow).
Figure 4
Figure 4
Illustration showing a right paraduodenal hernia with a loop of small bowel prolapsing (curved arrow) through Waldeyer's fossa, behind the superior mesenteric artery (SMA) (straight arrow) and inferior to third part of the duodenum (asterisk).
See this image and copyright information in PMC

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