Asian Journal of Case Reports in Surgery

Case Report on Paraduodenal Hernia: Uncommon Cause of a Common Surgical Problem

Munish Trehan

Department of Surgery, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.

Anubhavv Gupta *

Department of Surgery, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.

*Author to whom correspondence should be addressed.

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Abstract

Objectives: Paraduodenal hernia is the most common type of internal hernia. Patients generally present to the emergency with a short history of abdominal pain, associated with episodes of nausea and vomiting. Ischemia of the herniated bowel loop may set in as a result of closed loop obstruction.

Subjects and Methods: A 32 years old male patient who presented with complaints of pain abdomen, breathlessness and multiple episodes of vomiting for a day.

Results: He underwent emergency exploratory laparotomy with excision of the hernial sac, bowel resection with duodeno-ileal anastomosis and was discharged on post op day 5 on a liquid diet.

Conclusion: An early diagnosis with appropriate imaging techniques, X-ray or CT scan of the abdomen is essential to reduce the associated morbidity. Early surgical intervention is the deciding factor in the associated mortality in these patients. The surgery should be done with the intent of reduction of the contents with or without excision of the hernia wall/sac and simple closure of the defect with non-absorbable interrupted sutures, staying away from the vessels that form the walls of the hernia.

Keywords: Right, paraduodenal hernia, internal hernia, small bowel ischemia

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