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Case Reports
. 2018 Oct 15:2018:9691689.
doi: 10.1155/2018/9691689. eCollection 2018.

Laparoscopic Repair of Right Paraduodenal Hernia in Adult Patients: Case Report and Literature Review

Tomoko Takagishi  1 , Yuta Niimi  1 , Goshi Matsuki  1 , Shinta Nagano  1 , Junsuke Hinami  1 , Masaaki Kajiwara  1 , Kiyoshi Kaneko  1 , Yoshihiro Kubota  1 , Osamu Nakai  1
Affiliations
Case Reports

Laparoscopic Repair of Right Paraduodenal Hernia in Adult Patients: Case Report and Literature Review

Tomoko Takagishi et al. Case Rep Surg. .

Abstract

A 56-year-old Japanese female presented with vomiting, nausea, and abdominal pain after excessive drinking and eating. Abdominal computed tomography showed an encapsulated circumscribed cluster of jejunal loops in the right upper quadrant. She was diagnosed with a strangulated intestinal obstruction caused by right paraduodenal hernia (PDH) and underwent an emergency laparoscopic repair. A view through the endoscope showed the right PDH, which was encapsulated under the mesocolon. Most of the small bowel was entrapped and adhered inside the sac, requiring careful adhesiolysis. The hernia orifice was expanded to a sufficient degree, and the strangulation was relieved, avoiding the need of resecting the small intestine. Recovery was uneventful, and the patient remains free of symptoms 3 years after surgery. Findings in a total of 29 patients (including this report) who underwent laparoscopic repair of right or left PDHs in Japan are discussed.

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Figures

Figure 1
Figure 1
Abdominal CT (noncontrast-enhanced) findings in this patient. (a) Axial image showing that most of the small intestine was located in the right upper abdominal cavity and had a sac-like appearance (arrow). Ascites was observed within the sac. (b) Coronal image showing absence of the ligament of Treitz in the duodenum, along with a flattened inferior vena cava and distorted mesenteric veins (arrowhead). A 2 cm-sized gallstone was also observed.
Figure 2
Figure 2
Photograph showing laparoscopic findings during surgery of the distended small intestine and ascites under the ascending mesocolon.
See this image and copyright information in PMC

References

    1. Dietz D. W., Walsh R. M., Grundfest-Broniatowski S., Lavery I. C., Fazio V. W., Vogt D. P. Intestinal malrotation: a rare but important cause of bowel obstruction in adults. Diseases of the Colon and Rectum. 2002;45(10):1381–1386. doi: 10.1007/s10350-004-6429-0. - DOI - PubMed
    1. Tambe S. V., Rana K. K., Kakar A., et al. Clinical importance of duodenal recesses with special reference to internal hernias. Archives of Medical Science. 2017;13(1):148–156. doi: 10.5114/aoms.2017.64717. - DOI - PMC - PubMed
    1. Khan M. A., Lo A. Y., Vande Maele D. M. Paraduodenal hernia. The American Surgeon. 1998;64(12):1218–1222. - PubMed
    1. Mehra R., Pujahari A. K. Right paraduodenal hernia: report of two cases and review of literature. Gastroenterology Report. 2016;4(2):168–171. doi: 10.1093/gastro/gou076. - DOI - PMC - PubMed
    1. Uematsu T., Kitamura H., Iwase M., et al. Laparoscopic repair of a paraduodenal hernia. Surgical Endoscopy. 1998;12(1):50–52. doi: 10.1007/s004649900591. - DOI - PubMed

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