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Right Paraduodenal Hernia as a Cause of Acute Abdominal Pain in the Emergency Department: A Case Report and Review of the Literature

Paraduodenal hernias (PDHs) represent an unusual cause of acute abdominal pain in the Emergency Department (ED) and are associated with high morbidity attributable to a challenging clinical and radiological diagnosis, as signs and symptoms mimic other frequent causes of acute abdominal pain. We repo...

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Autores principales: Lamprou, Viktoria, Krokou, Despoina, Karlafti, Eleni, Panidis, Stavros, Kougias, Leonidas, Tzikos, Georgios, Ioannidis, Aristeidis, Netta, Smaro, Thomaidou, Evanthia, Paramythiotis, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9689437/
https://www.ncbi.nlm.nih.gov/pubmed/36359585
http://dx.doi.org/10.3390/diagnostics12112742
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author Lamprou, Viktoria
Krokou, Despoina
Karlafti, Eleni
Panidis, Stavros
Kougias, Leonidas
Tzikos, Georgios
Ioannidis, Aristeidis
Netta, Smaro
Thomaidou, Evanthia
Paramythiotis, Daniel
author_facet Lamprou, Viktoria
Krokou, Despoina
Karlafti, Eleni
Panidis, Stavros
Kougias, Leonidas
Tzikos, Georgios
Ioannidis, Aristeidis
Netta, Smaro
Thomaidou, Evanthia
Paramythiotis, Daniel
author_sort Lamprou, Viktoria
collection PubMed
description Paraduodenal hernias (PDHs) represent an unusual cause of acute abdominal pain in the Emergency Department (ED) and are associated with high morbidity attributable to a challenging clinical and radiological diagnosis, as signs and symptoms mimic other frequent causes of acute abdominal pain. We report a right paraduodenal hernia in a 37-year-old female patient who presented to the ED complaining of abdominal pain located in the right lower abdomen and hypogastrium, accompanied by nausea. During diagnostic work up, the abdominal computed tomography scan revealed the presence of small bowel malrotation with concomitant right paraduodenal hernia. These findings were confirmed intraoperatively. We performed a brief literature review about the clinical manifestations and treatment options of right paraduodenal hernias, which retrieved only 30 articles related to this condition. Prompt diagnosis, radiological or intraoperative, of paraduodenal hernias is crucial because nearly 50% will progress to small bowel obstruction. Therefore, it is essential for every clinician to account for them in the differential diagnosis of acute abdominal pain in the ED.
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spelling pubmed-96894372022-11-25 Right Paraduodenal Hernia as a Cause of Acute Abdominal Pain in the Emergency Department: A Case Report and Review of the Literature Lamprou, Viktoria Krokou, Despoina Karlafti, Eleni Panidis, Stavros Kougias, Leonidas Tzikos, Georgios Ioannidis, Aristeidis Netta, Smaro Thomaidou, Evanthia Paramythiotis, Daniel Diagnostics (Basel) Case Report Paraduodenal hernias (PDHs) represent an unusual cause of acute abdominal pain in the Emergency Department (ED) and are associated with high morbidity attributable to a challenging clinical and radiological diagnosis, as signs and symptoms mimic other frequent causes of acute abdominal pain. We report a right paraduodenal hernia in a 37-year-old female patient who presented to the ED complaining of abdominal pain located in the right lower abdomen and hypogastrium, accompanied by nausea. During diagnostic work up, the abdominal computed tomography scan revealed the presence of small bowel malrotation with concomitant right paraduodenal hernia. These findings were confirmed intraoperatively. We performed a brief literature review about the clinical manifestations and treatment options of right paraduodenal hernias, which retrieved only 30 articles related to this condition. Prompt diagnosis, radiological or intraoperative, of paraduodenal hernias is crucial because nearly 50% will progress to small bowel obstruction. Therefore, it is essential for every clinician to account for them in the differential diagnosis of acute abdominal pain in the ED. MDPI 2022-11-09 /pmc/articles/PMC9689437/ /pubmed/36359585 http://dx.doi.org/10.3390/diagnostics12112742 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Lamprou, Viktoria
Krokou, Despoina
Karlafti, Eleni
Panidis, Stavros
Kougias, Leonidas
Tzikos, Georgios
Ioannidis, Aristeidis
Netta, Smaro
Thomaidou, Evanthia
Paramythiotis, Daniel
Right Paraduodenal Hernia as a Cause of Acute Abdominal Pain in the Emergency Department: A Case Report and Review of the Literature
title Right Paraduodenal Hernia as a Cause of Acute Abdominal Pain in the Emergency Department: A Case Report and Review of the Literature
title_full Right Paraduodenal Hernia as a Cause of Acute Abdominal Pain in the Emergency Department: A Case Report and Review of the Literature
title_fullStr Right Paraduodenal Hernia as a Cause of Acute Abdominal Pain in the Emergency Department: A Case Report and Review of the Literature
title_full_unstemmed Right Paraduodenal Hernia as a Cause of Acute Abdominal Pain in the Emergency Department: A Case Report and Review of the Literature
title_short Right Paraduodenal Hernia as a Cause of Acute Abdominal Pain in the Emergency Department: A Case Report and Review of the Literature
title_sort right paraduodenal hernia as a cause of acute abdominal pain in the emergency department: a case report and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9689437/
https://www.ncbi.nlm.nih.gov/pubmed/36359585
http://dx.doi.org/10.3390/diagnostics12112742
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