Left paraduodenal hernia: An overlooked cause of acute abdomen - A case report
Internal abdominal hernias are uncommon causes of intestinal obstruction, making them elusive in diagnosis. Paraduodenal hernias (PDH) represent the most common subset, accounting for up to 53% of all internal hernias. They occur due to herniation of the small bowel into the paraduodenal fossa. Symp...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-04-01
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| Series: | International Journal of Abdominal Wall and Hernia Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.4103/ijawhs.ijawhs_74_23 |
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| author | Bhushan Shah Jayant Bajaj Adithya Reddy Vijendra Devendra S. Yadav |
| author_facet | Bhushan Shah Jayant Bajaj Adithya Reddy Vijendra Devendra S. Yadav |
| author_sort | Bhushan Shah |
| collection | DOAJ |
| description | Internal abdominal hernias are uncommon causes of intestinal obstruction, making them elusive in diagnosis. Paraduodenal hernias (PDH) represent the most common subset, accounting for up to 53% of all internal hernias. They occur due to herniation of the small bowel into the paraduodenal fossa. Symptomatology in a patient ranges from asymptomatic, chronic abdominal pain to acute abdomen. Although rare, a high index of suspicion of PDH is required to prevent its fatal complications such as bowel incarceration, volvulus, or strangulation. Preoperative evaluation with a computed tomography scan of the abdomen facilitates diagnosis and timely surgical intervention. We present a case of a 26-year-old male patient managed with an open surgical approach for a left PDH in an emergency with a good clinical outcome. This case report emphasizes the importance of awareness of this uncommon condition and its consideration in the differential diagnosis of acute abdomen to avert unnecessary hospitalization and surgery. |
| format | Article |
| id | doaj-art-90641969947f482ea1b454a5d11b6bb4 |
| institution | Kabale University |
| issn | 2589-8736 2589-8078 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Abdominal Wall and Hernia Surgery |
| spelling | doaj-art-90641969947f482ea1b454a5d11b6bb42025-01-25T10:01:22ZengWolters Kluwer Medknow PublicationsInternational Journal of Abdominal Wall and Hernia Surgery2589-87362589-80782024-04-01729910110.4103/ijawhs.ijawhs_74_23Left paraduodenal hernia: An overlooked cause of acute abdomen - A case reportBhushan ShahJayant BajajAdithya Reddy VijendraDevendra S. YadavInternal abdominal hernias are uncommon causes of intestinal obstruction, making them elusive in diagnosis. Paraduodenal hernias (PDH) represent the most common subset, accounting for up to 53% of all internal hernias. They occur due to herniation of the small bowel into the paraduodenal fossa. Symptomatology in a patient ranges from asymptomatic, chronic abdominal pain to acute abdomen. Although rare, a high index of suspicion of PDH is required to prevent its fatal complications such as bowel incarceration, volvulus, or strangulation. Preoperative evaluation with a computed tomography scan of the abdomen facilitates diagnosis and timely surgical intervention. We present a case of a 26-year-old male patient managed with an open surgical approach for a left PDH in an emergency with a good clinical outcome. This case report emphasizes the importance of awareness of this uncommon condition and its consideration in the differential diagnosis of acute abdomen to avert unnecessary hospitalization and surgery.https://doi.org/10.4103/ijawhs.ijawhs_74_23acute abdomencase reportexploratory laparotomyleft paraduodenal herniayoung male |
| spellingShingle | Bhushan Shah Jayant Bajaj Adithya Reddy Vijendra Devendra S. Yadav Left paraduodenal hernia: An overlooked cause of acute abdomen - A case report International Journal of Abdominal Wall and Hernia Surgery acute abdomen case report exploratory laparotomy left paraduodenal hernia young male |
| title | Left paraduodenal hernia: An overlooked cause of acute abdomen - A case report |
| title_full | Left paraduodenal hernia: An overlooked cause of acute abdomen - A case report |
| title_fullStr | Left paraduodenal hernia: An overlooked cause of acute abdomen - A case report |
| title_full_unstemmed | Left paraduodenal hernia: An overlooked cause of acute abdomen - A case report |
| title_short | Left paraduodenal hernia: An overlooked cause of acute abdomen - A case report |
| title_sort | left paraduodenal hernia an overlooked cause of acute abdomen a case report |
| topic | acute abdomen case report exploratory laparotomy left paraduodenal hernia young male |
| url | https://doi.org/10.4103/ijawhs.ijawhs_74_23 |
| work_keys_str_mv | AT bhushanshah leftparaduodenalherniaanoverlookedcauseofacuteabdomenacasereport AT jayantbajaj leftparaduodenalherniaanoverlookedcauseofacuteabdomenacasereport AT adithyareddyvijendra leftparaduodenalherniaanoverlookedcauseofacuteabdomenacasereport AT devendrasyadav leftparaduodenalherniaanoverlookedcauseofacuteabdomenacasereport |