IJAR - Indian Journal of Applied Research

Dr. Bhavin Kothari

Volume : V, Issue : XI, November - 2015

PARA DUODENAL HERNIA: RARE CAUSE OF INTESTINAL OBSTRUCTION

Dr. Bhavin Kothari

Abstract :

Intestinal obstruction is a common clinical condition that is usually suspected on the basis of clinical signs and patient history. They are basically congenital in origin representing entrapment of small intestine beneath the mesentery of colon probably occurring due to abnormal emyologic rotation of midgut and variation in peritoneal fixation and vascular folds. Para duodenal hernias occur more commonly on the left side. Para duodenal hernia is the most common form of congenital internal hernia and constitutes a protrusion of bowel into the retroperitoneal space through peritoneal defects near the third and fourth portion of the duodenum. The lifetime risk of obstruction and bowel strangulation is around 50% with a mortality of 20% and higher. Despite the rarity of the disease, it poses a serious surgical problem. The high risk of obstruction and the associated mortality mandate repair once the diagnosis is established