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Case Reports
. 2014 Mar 27:17:230.
doi: 10.11604/pamj.2014.17.230.3546. eCollection 2014.

Left paraduodenal hernia: A rare cause of acute abdomen

Karim Ibn Majdoub Hassani  1 , Younes Aggouri  1 , Said Ait Laalim  1 , Imane Toughrai  1 , Khalid Mazaz  1
Affiliations
Case Reports

Left paraduodenal hernia: A rare cause of acute abdomen

Karim Ibn Majdoub Hassani et al. Pan Afr Med J. .

Abstract

Paraduodenal hernia is a rare congenital anomaly that arises from an error of rotation of the midgut. The duodenum and the small intestine become trapped in a sac which is lined by the peritoneum, behind the mesentery of the colon, either to the right or left of the midline. It is therfore a rare and potentially life-threatening condition that can cause intestinal obstruction progressing to strangulation and perforation. We report a case of a 55-year-old patient presenting a left paraduodenal hernia diagnosed intraoperatively after being operated on in the emergency setting for acute abdomen. The small bowel was twisted upon its mesentery and was entrapped in a large left paraduodenal space. Fortunately, once the bowel was reduced from the paraduodenal space, the blood flow was reestablished and the small bowel resumed a proper functioning. The mouth of the sac was obliterated by suture opposition to the posterior wall. The patient's subsequent hospital course was uneventful, and he was discharged in satisfactory condition 4 days postoperatively.

Keywords: Paraduodenal hernia; acute abdomen; left.

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Figures

Figure 1
Figure 1
Small gut in the left paraduodenal area enclosed in a hernia sac
Figure 2
Figure 2
Paraduodenal hernia sac opened and the bowel reduced from it
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)
See this image and copyright information in PMC

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