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

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...

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Main Authors: Tomoko Takagishi, Yuta Niimi, Goshi Matsuki, Shinta Nagano, Junsuke Hinami, Masaaki Kajiwara, Kiyoshi Kaneko, Yoshihiro Kubota, Osamu Nakai
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2018/9691689
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author Tomoko Takagishi
Yuta Niimi
Goshi Matsuki
Shinta Nagano
Junsuke Hinami
Masaaki Kajiwara
Kiyoshi Kaneko
Yoshihiro Kubota
Osamu Nakai
author_facet Tomoko Takagishi
Yuta Niimi
Goshi Matsuki
Shinta Nagano
Junsuke Hinami
Masaaki Kajiwara
Kiyoshi Kaneko
Yoshihiro Kubota
Osamu Nakai
author_sort Tomoko Takagishi
collection DOAJ
description 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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institution Kabale University
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language English
publishDate 2018-01-01
publisher Wiley
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series Case Reports in Surgery
spelling doaj-art-d25079612c3f4fbfbc5a26d205fb3ca62025-02-03T07:25:57ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/96916899691689Laparoscopic Repair of Right Paraduodenal Hernia in Adult Patients: Case Report and Literature ReviewTomoko Takagishi0Yuta Niimi1Goshi Matsuki2Shinta Nagano3Junsuke Hinami4Masaaki Kajiwara5Kiyoshi Kaneko6Yoshihiro Kubota7Osamu Nakai8Department of Surgery, Uji Tokushukai Medical Center, Uji, Kyoto 611-0041, JapanDepartment of Surgery, Uji Tokushukai Medical Center, Uji, Kyoto 611-0041, JapanDepartment of Surgery, Uji Tokushukai Medical Center, Uji, Kyoto 611-0041, JapanDepartment of Surgery, Uji Tokushukai Medical Center, Uji, Kyoto 611-0041, JapanDepartment of Surgery, Uji Tokushukai Medical Center, Uji, Kyoto 611-0041, JapanDepartment of Surgery, Uji Tokushukai Medical Center, Uji, Kyoto 611-0041, JapanDepartment of Surgery, Uji Tokushukai Medical Center, Uji, Kyoto 611-0041, JapanDepartment of Surgery, Uji Tokushukai Medical Center, Uji, Kyoto 611-0041, JapanDepartment of Surgery, Uji Tokushukai Medical Center, Uji, Kyoto 611-0041, JapanA 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.http://dx.doi.org/10.1155/2018/9691689
spellingShingle Tomoko Takagishi
Yuta Niimi
Goshi Matsuki
Shinta Nagano
Junsuke Hinami
Masaaki Kajiwara
Kiyoshi Kaneko
Yoshihiro Kubota
Osamu Nakai
Laparoscopic Repair of Right Paraduodenal Hernia in Adult Patients: Case Report and Literature Review
Case Reports in Surgery
title Laparoscopic Repair of Right Paraduodenal Hernia in Adult Patients: Case Report and Literature Review
title_full Laparoscopic Repair of Right Paraduodenal Hernia in Adult Patients: Case Report and Literature Review
title_fullStr Laparoscopic Repair of Right Paraduodenal Hernia in Adult Patients: Case Report and Literature Review
title_full_unstemmed Laparoscopic Repair of Right Paraduodenal Hernia in Adult Patients: Case Report and Literature Review
title_short Laparoscopic Repair of Right Paraduodenal Hernia in Adult Patients: Case Report and Literature Review
title_sort laparoscopic repair of right paraduodenal hernia in adult patients case report and literature review
url http://dx.doi.org/10.1155/2018/9691689
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