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CASE REPORT
Year : 2014  |  Volume : 2  |  Issue : 3  |  Page : 96-98

Paraduodenal hernia: A case report and review of the literature


Department of General Surgery, Goa Medical College, Bambolim, Goa, India

Correspondence Address:
M Correia
Resicom Elite, Flat C 02, Off Kadamba Depot Road, Alto Porvorim, Bardez, Goa 403 521
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2320-3846.147031

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We present the case of a 43-year-old woman who presented to our emergency department with progressive left sided abdominal pain of 1 day duration. She had a past history of bilateral renal calculi for which she was receiving treatment. Computed tomography scan revealed a sac-like mass of small bowel loops to the left of the ligament of Treitz, consistent with the diagnosis of a left paraduodenal hernia. At laparotomy, a left paraduodenal hernia with incarceration of small bowel loops were found, the herniated loops were reduced and the hernial orifice closed. The patient had an uneventful postoperative stay in hospital. Since the discharge from hospital, she has followed up on many occasions and there has been no recurrence of pain. With modern imaging modalities, early and correct diagnosis is possible. Due to the risk of obstruction and strangulation, surgical treatment is indicated. Early intervention increases the likelihood of a favorable outcome. Paraduodenal hernias are a rare congenital anomaly which arises from an error of the rotation of the midgut.


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