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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...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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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. |
format | Online Article Text |
id | pubmed-9689437 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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