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Acute intestinal obstruction secondary to left paraduodenal hernia: a case report and literature review

Al-Khyatt, Waleed; Aggarwal, Smeer; Birchall, James; Rowlands, Timothy E.

Authors

Waleed Al-Khyatt

Smeer Aggarwal

James Birchall

Timothy E. Rowlands

Abstract

Introduction: An internal hernia is a protrusion of bowel through a normal or abnormal orifice in the peritoneum
or mesentery. Although they are considered as a rare cause of intestinal obstruction, paraduodenal hernias are the
most common type of congenital hernias.
Methods: A literature search using PubMed was performed to identify all published cases of left paraduodenal
hernia (LPDH).
Results: In Literature search between 1980 and 2012 using PubMed revealed only 44 case reports before the
present one. Median age was 47 years (range 18 – 82 years). Nearly 50% reported previous mild symptoms.
Two-third of patients required emergency surgery in form of laparotomy or laparoscopic repair. Reduction of hernia
contents with widening or suture repair of the hernia orifice were the most common standards in surgical
management of LPDH.
Conclusion: Intestinal obstruction secondary to internal hernias is a rare presentation. High index of suspicion and
preoperative imaging are essential to make an early diagnosis in order to improve outcome.

Journal Article Type Article
Publication Date Jan 16, 2013
Journal World Journal of Emergency Surgery
Electronic ISSN 1749-7922
Publisher Humana Press
Peer Reviewed Peer Reviewed
Volume 8
Issue 5
Article Number 5
Institution Citation Al-Khyatt, W., Aggarwal, S., Birchall, J., & Rowlands, T. E. (2013). Acute intestinal obstruction secondary to left paraduodenal hernia: a case report and literature review. World Journal of Emergency Surgery, 8(5), doi:10.1186/1749-7922-8-5
DOI https://doi.org/10.1186/1749-7922-8-5
Publisher URL http://www.wjes.org/content/8/1/5
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0




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