Right paraduodenal hernia: A rare cause of small bowel obstruction in younger individual
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 8
Abstract
Paraduodenal hernias are unusual conditions, accounting for 0.9% of all intestinal obstructions due to internal abdominal hernias.1 Small bowel contents herniate into either left fossa (commonly) or right fossa (very rarely) and produce features of intestinal obstruction.2Pre-operative diagnosis is an arduous task, unless a vigilant approach is entertained. A 19 year old male presented with intestinal obstruction of three days duration. After the initial resuscitation, patient was taken up for laparotomy. A hernial sac with coiled small bowel loops was found in the rightparaduodenalregion. The hernial orifice was widened and flimsy adhesions were released from the posterior part of the membrane. Ladd's procedure was done. The patient made an uneventful recovery. Small bowel obstruction due to internal hernia especially right para duodenal hernia is extremely uncommon and can pose a diagnostic challenge. This case report highlights a right paraduodenal hernia as an incidental finding in a young patient who underwent laparotomy for suspected acute intestinal obstruction. The complexity in early diagnosis makes paraduodenal herniaa challenging scenario.
Authors and Affiliations
Chellappa Vijaya kumar, Nagarajan Raj Kumar, Harish Kumar L, Manoj Kumar P, Shankar H
Keywords
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- EP ID EP381053
- DOI 10.9790/0853-1708057679.
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