Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Sep 21;7(1):213.
doi: 10.1186/s40792-021-01292-7.

Left paraduodenal hernia treated by single-incision laparoscopic surgery: a case report

Noboru Hasegawa  1 , Hiroshi Takeyama  2 , Yozo Suzuki  1 , Shingo Noura  1 , Kazuki Odagiri  1 , Yoshitomo Yanagimoto  1 , Masafumi Yamashita  1 , Junzo Shimizu  1 , Tomono Kawase  1 , Hiroshi Imamura  1 , Takashi Iwazawa  1 , Naohiro Tomita  1 , Keizo Dono  1
Affiliations

Left paraduodenal hernia treated by single-incision laparoscopic surgery: a case report

Noboru Hasegawa et al. Surg Case Rep. .

Abstract

Background: Paraduodenal hernia is a rare internal hernia which accounts for only 1% of all intestinal hernias. There have been limited reported cases of paraduodenal hernia treated by laparoscopic surgery. We report a case of left paraduodenal hernia that was successfully treated by single-incision laparoscopic surgery (SILS).

Case presentation: A 17-year-old woman presented with left upper abdominal pain. An abdominal enhanced multi-detector computed tomography demonstrated encapsulated cluster of small bowel loops in the left upper quadrant which passed through the dorsal side of the inferior mesenteric vein, and showed that blood flow of the prolapsed small bowel was preserved. We preoperatively diagnosed left paraduodenal hernia without ischemia or necrosis. We performed elective SILS because she was a young actress training school student and cosmetic benefit was thought to be important. We pulled out the protruded small bowel and closed a defect with a running suture by SILS. The patient was discharged 3 days after the surgery with no complications.

Conclusions: We reported the case of left paraduodenal hernia successfully diagnosed and treated by SILS.

Keywords: Internal hernia; Left paraduodenal hernia; Single-incision laparoscopic surgery (SILS).

PubMed Disclaimer

Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Fig. 1
Fig. 1
A multi-detector contrast-enhanced computed tomography scan showed no signs of ischemic findings. The small bowel was congregated on the left upper quadrant of the abdomen through the dorsal side of the inferior mesenteric vein (white arrow)
Fig. 2
Fig. 2
Postoperative scar after single-incision laparoscopic surgery. The diameter of the incision was 2.5 cm
Fig. 3
Fig. 3
Images during surgery. a Landzert’s fossa (white arrow) was revealed after the reduction of the hernia contents. b Closing of the defect (white arrow) by suture
See this image and copyright information in PMC

References

    1. Martin LC, Merkle EM, Thompson WM. Review of internal hernias: radiographic and clinical findings. AJR Am J Roentgenol. 2006;186(3):703–717. doi: 10.2214/AJR.05.0644. - DOI - PubMed
    1. Wakabayashi M, Kono S, Takahashi T. Laparoscopic repair of acute small bowel obstruction due to left paraduodenal hernia: a case report. Int J Surg Case Rep. 2018;51:194–199. doi: 10.1016/j.ijscr.2018.08.050. - DOI - PMC - PubMed
    1. Al-Khyatt W, Aggarwal S, Birchall J, Rowlands TE. Acute intestinal obstruction secondary to left paraduodenal hernia: a case report and literature review. World J Emerg Surg. 2013;8(1):5. doi: 10.1186/1749-7922-8-5. - DOI - PMC - PubMed
    1. Nam SH, Kim KW, Kim JS, Kim KH, Park SJ. Laparoscopic treatment of left paraduodenal hernia in two cases of children. Int J Surg Case Rep. 2012;3(6):199–202. doi: 10.1016/j.ijscr.2012.02.007. - DOI - PMC - PubMed
    1. Assenza M, Rossi D, Rossi G, Reale C, Simonelli L, Romeo V, et al. Laparoscopic management of left paraduodenal hernia. Case report and review of literature. G Chir. 2014;35(7–8):185–189. - PMC - PubMed

LinkOut - more resources