Volume : VII, Issue : IV, April - 2018
Right paraduodenal hernia : emergency management
Dr. Sumita A Jain, Dr. Anil Kumar, Dr. Lakshman Agarwal, Dr. Pramod Chandolia, Dr. Pankaj Somani
Abstract :
Paraduodenal hernia is the most common type of internal hernia, accounting for 53% of reported cases. It represents a rare congenital anomaly which arises from an error of rotation of the midgut. We report a case of right paraduodenal hernia in an 58 year old patient and its emergency diagnosis and management in an acute clinical presentation. A 58 year old male patient was admitted with diffuse abdominal pain, obstipation and vomiting. An abdominal CT scan with intravenous and oral contrast revealed multiple dilated jejunal and proximal ileal loops abutting in C loop of duodenum. It is displacing superior mesenteric vessels anteriorly and there is crowding of mesenteric vessels at the site of abnormal bowel loops. Suggestive of right paraduodenal internal hernia.
The patient underwent a laparotomy, which revealed a large sac containing dilated small bowel loops as shown by radiologic studies. The patient did well in postoperatively and was discharged home on the 5th day after the surgery.
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DOI : 10.36106/ijsr
Cite This Article:
DR. SUMITA A JAIN, DR.ANIL KUMAR, DR. LAKSHMAN AGARWAL, DR. PRAMOD CHANDOLIA, DR. PANKAJ SOMANI, Right paraduodenal hernia : emergency management, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-4 | April-2018
Number of Downloads : 195
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DR. SUMITA A JAIN, DR.ANIL KUMAR, DR. LAKSHMAN AGARWAL, DR. PRAMOD CHANDOLIA, DR. PANKAJ SOMANI, Right paraduodenal hernia : emergency management, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-4 | April-2018
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