Chávez-Magallón R, Beristain-Hernández JL

Language: Spanish
References: 8
Page: 54-57
PDF size: 195.18 Kb.

ABSTRACT

Introduction: Congenital internal hernias are a rare condition, accounting for less than 1% of abdominal hernias. Intestinal obstruction due to an internal hernia occurs in 0.25-0.9%. Paraduodenal hernia also called Treitz hernia is the most common internal hernia (53%). Diagnosis should be considered in any patient with intestinal obstruction with no previous history of abdominal surgery and in whom other causes have been ruled out. Case presentation: We present a case of a 61-year-old male, who presented with an acute abdominal condition due to an intestinal obstruction with no history of abdominal surgery. An emergency laparoscopic surgery was performed, with the finding of a left paraduodenal internal hernia, which is reduced without complications and the patient was discharged home asymptomatic on the 3rd post-operative day. Conclusions: Paraduodenal hernia was initially described by Neubauer in 1786, the most accepted theory about the pathophysiology was described by Andrews in 1923, who suggests an embryological error during the rotation of the primitive midgut around the superior mesenteric artery. The incidence is higher in men and on the left side and at least 50% of patients with paraduodenal hernia will develop intestinal occlusion. Keywords: Paraduodenal hernia, congenital internal hernia, Treitz hernia.

REFERENCES

1. Kadhem S, Ali MH, Al-Dera FH, Alzayer NA, Alyagoub HM. Left paraduodenal hernia: case report of rare cause of recurrent abdominal pain. Cureus. 2020; 12: e7156.

2. Kabbani D, Salem A, Holloway DK. Paraduodenal herniation: an internal herniation in a virgin abdomen. Int J Surg Case Rep. 2014; 5: 1148-1150.

3. Kulkarni GV, Salgaonkar HP, Sharma PC, Chakkarvarty NR, Katara AN, Bhandarkar DS. Laparoscopic repair of left paraduodenal hernia: Report of two cases and review of the literature. Asian J Endosc Surg. 2016; 9: 157-160.

4. Husain A, Bhat S, Roy AK, Sharma V, Dubey SA, Faridi MS. Internal hernia through paraduodenal recess with acute intestinal obstruction: a case report. Indian J Surg. 2012; 74: 354-355.

5. Sakamoto T, Lefor AK. Laparoscopic reduction and repair of a left paraduodenal hernia. BMJ Case Rep. 2019; 12: e232098.

6. Wakabayashi M, Kono S, Takahashi T. Laparoscopic repair of acute small bowel obstruction due to left paraduodenal hernia: A case report. Int J Surg Case Rep. 2018; 51: 194-199.

7. Hussein M, Khreiss M, Al-Helou G, Alaeddine M, Elias E, Abi Saad GS. Laparoscopic repair of a left paraduodenal hernia presenting with acute bowel obstruction: report of a case. Surg Laparosc Endosc Percutan Tech. 2012; 22: e28-e30.

8. Morán JM, Salas J, Sanjuán S, González G, Gallello A, Serrano A et al. Incarceración retroperitoneal del yeyuno en una hernia paramesocólica izquierda. Cir Pediatr. 2002; 15: 168-171.