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Small bowel obstruction secondary to left paraduodenal hernia: A case report and literature review
INTRODUCTION: Internal hernias are uncommon and are defined by the protrusion of a viscus through intraperitoneal defects. Left paraduodenal hernias (LPDH) are the most common type of congenital internal hernia (CIH). We report a clinical case of a patient with a small bowel obstruction (SBO) due to...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205147/ https://www.ncbi.nlm.nih.gov/pubmed/30366174 http://dx.doi.org/10.1016/j.ijscr.2018.10.018 |
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author | Sleiman, Youssef El-Kheir, Alaa El-Khoury, Melody Hamdach, Omar Ismail, Layla Allouch, Mustafa |
author_facet | Sleiman, Youssef El-Kheir, Alaa El-Khoury, Melody Hamdach, Omar Ismail, Layla Allouch, Mustafa |
author_sort | Sleiman, Youssef |
collection | PubMed |
description | INTRODUCTION: Internal hernias are uncommon and are defined by the protrusion of a viscus through intraperitoneal defects. Left paraduodenal hernias (LPDH) are the most common type of congenital internal hernia (CIH). We report a clinical case of a patient with a small bowel obstruction (SBO) due to a LPDH. CASE PRESENTATION: An elderly patient, with negative surgical history, presented to the emergency room with abdominal pain and vomiting. Clinical and radiologic investigations were consistent with SBO due to an internal hernia. During laparotomy, a large LPDH containing dilated small bowel loops was identified. The hernia contents were reduced and the opening was closed with non-absorbable sutures. The post-operative course was uneventful without signs of recurrence at follow up. DISCUSSION: LPDH result from absence of retroperitoneal fixation of the descending colon mesentery. Usually, patients are asymptomatic and LPDH are incidental findings detected on imaging and/or during laparotomy. However, LPDH may lead to acute SBO therefore a high index of clinical suspicion and preoperative imaging is crucial to make an early diagnosis. CONCLUSION: CIH is a rare condition due to embryologic developmental abnormalities. Their diagnosis is based on pathognomonic findings on computed tomography scanner (CTscan). Surgical treatment is the mainstay treatment. Delay diagnosis of strangulated CIH is associated with significant morbidity andmortality. |
format | Online Article Text |
id | pubmed-6205147 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-62051472018-11-29 Small bowel obstruction secondary to left paraduodenal hernia: A case report and literature review Sleiman, Youssef El-Kheir, Alaa El-Khoury, Melody Hamdach, Omar Ismail, Layla Allouch, Mustafa Int J Surg Case Rep Article INTRODUCTION: Internal hernias are uncommon and are defined by the protrusion of a viscus through intraperitoneal defects. Left paraduodenal hernias (LPDH) are the most common type of congenital internal hernia (CIH). We report a clinical case of a patient with a small bowel obstruction (SBO) due to a LPDH. CASE PRESENTATION: An elderly patient, with negative surgical history, presented to the emergency room with abdominal pain and vomiting. Clinical and radiologic investigations were consistent with SBO due to an internal hernia. During laparotomy, a large LPDH containing dilated small bowel loops was identified. The hernia contents were reduced and the opening was closed with non-absorbable sutures. The post-operative course was uneventful without signs of recurrence at follow up. DISCUSSION: LPDH result from absence of retroperitoneal fixation of the descending colon mesentery. Usually, patients are asymptomatic and LPDH are incidental findings detected on imaging and/or during laparotomy. However, LPDH may lead to acute SBO therefore a high index of clinical suspicion and preoperative imaging is crucial to make an early diagnosis. CONCLUSION: CIH is a rare condition due to embryologic developmental abnormalities. Their diagnosis is based on pathognomonic findings on computed tomography scanner (CTscan). Surgical treatment is the mainstay treatment. Delay diagnosis of strangulated CIH is associated with significant morbidity andmortality. Elsevier 2018-10-12 /pmc/articles/PMC6205147/ /pubmed/30366174 http://dx.doi.org/10.1016/j.ijscr.2018.10.018 Text en © 2018 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Sleiman, Youssef El-Kheir, Alaa El-Khoury, Melody Hamdach, Omar Ismail, Layla Allouch, Mustafa Small bowel obstruction secondary to left paraduodenal hernia: A case report and literature review |
title | Small bowel obstruction secondary to left paraduodenal hernia: A case report and literature review |
title_full | Small bowel obstruction secondary to left paraduodenal hernia: A case report and literature review |
title_fullStr | Small bowel obstruction secondary to left paraduodenal hernia: A case report and literature review |
title_full_unstemmed | Small bowel obstruction secondary to left paraduodenal hernia: A case report and literature review |
title_short | Small bowel obstruction secondary to left paraduodenal hernia: A case report and literature review |
title_sort | small bowel obstruction secondary to left paraduodenal hernia: a case report and literature review |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205147/ https://www.ncbi.nlm.nih.gov/pubmed/30366174 http://dx.doi.org/10.1016/j.ijscr.2018.10.018 |
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