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Laparoscopic repair of a right-sided paraduodenal hernia

With an incidence of less than 1%, paraduodenal hernias are very rare but account for ~0.2–5.8% of mechanical small bowel obstruction and carry a mortality rate of 20–50%. Right-sided paraduodenal hernias are three times less frequent than left-sided paraduodenal hernias. We report the case of a 37-...

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Autores principales: Walkner, Stephanie, Nebiker, Christian A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6905350/
https://www.ncbi.nlm.nih.gov/pubmed/31844514
http://dx.doi.org/10.1093/jscr/rjz337
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author Walkner, Stephanie
Nebiker, Christian A
author_facet Walkner, Stephanie
Nebiker, Christian A
author_sort Walkner, Stephanie
collection PubMed
description With an incidence of less than 1%, paraduodenal hernias are very rare but account for ~0.2–5.8% of mechanical small bowel obstruction and carry a mortality rate of 20–50%. Right-sided paraduodenal hernias are three times less frequent than left-sided paraduodenal hernias. We report the case of a 37-year-old man who suffered from colicky abdominal pain accompanied by vomiting. The computed tomography scan showed a mechanical ileus, caused by a presumed paraduodenal hernia, and we chose an elective laparoscopic surgical approach. The patient recovered quickly and was discharged on the second postoperative day. Paraduodenal hernias are a diagnostic challenge as they are typically characterized by long-term non-specific abdominal symptoms and are only detected in the event of acute intestinal obstruction. Until now, laparoscopic therapy has only been described in eight case reports and we review this rare condition and the surgical options.
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spelling pubmed-69053502019-12-16 Laparoscopic repair of a right-sided paraduodenal hernia Walkner, Stephanie Nebiker, Christian A J Surg Case Rep Case Report With an incidence of less than 1%, paraduodenal hernias are very rare but account for ~0.2–5.8% of mechanical small bowel obstruction and carry a mortality rate of 20–50%. Right-sided paraduodenal hernias are three times less frequent than left-sided paraduodenal hernias. We report the case of a 37-year-old man who suffered from colicky abdominal pain accompanied by vomiting. The computed tomography scan showed a mechanical ileus, caused by a presumed paraduodenal hernia, and we chose an elective laparoscopic surgical approach. The patient recovered quickly and was discharged on the second postoperative day. Paraduodenal hernias are a diagnostic challenge as they are typically characterized by long-term non-specific abdominal symptoms and are only detected in the event of acute intestinal obstruction. Until now, laparoscopic therapy has only been described in eight case reports and we review this rare condition and the surgical options. Oxford University Press 2019-12-11 /pmc/articles/PMC6905350/ /pubmed/31844514 http://dx.doi.org/10.1093/jscr/rjz337 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2019. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Walkner, Stephanie
Nebiker, Christian A
Laparoscopic repair of a right-sided paraduodenal hernia
title Laparoscopic repair of a right-sided paraduodenal hernia
title_full Laparoscopic repair of a right-sided paraduodenal hernia
title_fullStr Laparoscopic repair of a right-sided paraduodenal hernia
title_full_unstemmed Laparoscopic repair of a right-sided paraduodenal hernia
title_short Laparoscopic repair of a right-sided paraduodenal hernia
title_sort laparoscopic repair of a right-sided paraduodenal hernia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6905350/
https://www.ncbi.nlm.nih.gov/pubmed/31844514
http://dx.doi.org/10.1093/jscr/rjz337
work_keys_str_mv AT walknerstephanie laparoscopicrepairofarightsidedparaduodenalhernia
AT nebikerchristiana laparoscopicrepairofarightsidedparaduodenalhernia