An uncommon cause of acute bowel obstruction: the left para-duodenal hernia

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COD: 1973_28_09_2018_EP Categorie: , ,

Ayman Trigui, Ahmed Guirat, Haitham Rejab, Nizar Kardoun, Foued Frikha, Mohamed Ben Amar, Mohamed Issam Beyrouti

Ann Ital Chir, Digital Edition 2018, 7
Epub, Sept. 28

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Internal hernias of the abdomen are uncommun. They represent less than 1% of bowel obstruction cases. The left paraduodenal
hernia is the most frequent type of internal hernias. We report a case of 77 year-old woman consulting for bowel
obstruction evolving since two days. The abdominal computed tomography revealed a retroperitoneal small bowel contained
in a peritoneal sac. The surgical exploration confirmed the diagnosis of a left internal paraduodenal hernia by showing
incarcerated jejunal loops in a paraduodenal hernia through a narrow opening to the left of the angle of Treitz. A
surgical reduction of the hernia and closure of the hernia neck were performed. The follow-ups were uncomplicated.
Through this observation and a literature review, we try to recall the clinical and radiological characteristics of this
disease and to clarify the therapeutic modalities.