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Right paraduodenal hernia: report of two cases and review of literature.

Mehra R, Pujahari AK - Gastroenterol Rep (Oxf) (2014)

Bottom Line: The jejunal loops had herniated through the fossa of Waldeyer.Post-operatively, the patients are healthy and symptom-free at 4 and 3 years follow-up, respectively.The rarity of this condition and the need for early diagnosis, to prevent the high risk of bowel obstruction and strangulation, makes PDH one of the difficult challenges for the clinicians.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Armed Forces Medical College, Pune, Maharashtra, India.

No MeSH data available.


Related in: MedlinePlus

Intra-operative photograph of Case 1, showing a thin hernial sac (marked by an arrow) enclosing the small bowel.
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gou076-F2: Intra-operative photograph of Case 1, showing a thin hernial sac (marked by an arrow) enclosing the small bowel.

Mentions: The patient was managed conservatively with intravenous fluids. He showed signs of clinical improvement in the first 72 hours, but the abdominal pain and vomiting restarted thereafter. He was therefore taken up for a surgical intervention. The peritoneal cavity was approached through a midline laparotomy. Intra-operatively, there was a thin hernial sac covering the small bowel (Figure 2). The hernial sac was opened laterally, to preserve the duodenum and superior mesenteric vessels, and excised. This repositioned the small bowel in the normal anatomical position. The hernial orifice was generously widened to prevent any future bowel incarceration. The inferior mesenteric vein, which was to the left of the hernial sac, was preserved. The post-operative period was uneventful and the patient has been asymptomatic in the 4 years following surgery.Figure 2.


Right paraduodenal hernia: report of two cases and review of literature.

Mehra R, Pujahari AK - Gastroenterol Rep (Oxf) (2014)

Intra-operative photograph of Case 1, showing a thin hernial sac (marked by an arrow) enclosing the small bowel.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4863181&req=5

gou076-F2: Intra-operative photograph of Case 1, showing a thin hernial sac (marked by an arrow) enclosing the small bowel.
Mentions: The patient was managed conservatively with intravenous fluids. He showed signs of clinical improvement in the first 72 hours, but the abdominal pain and vomiting restarted thereafter. He was therefore taken up for a surgical intervention. The peritoneal cavity was approached through a midline laparotomy. Intra-operatively, there was a thin hernial sac covering the small bowel (Figure 2). The hernial sac was opened laterally, to preserve the duodenum and superior mesenteric vessels, and excised. This repositioned the small bowel in the normal anatomical position. The hernial orifice was generously widened to prevent any future bowel incarceration. The inferior mesenteric vein, which was to the left of the hernial sac, was preserved. The post-operative period was uneventful and the patient has been asymptomatic in the 4 years following surgery.Figure 2.

Bottom Line: The jejunal loops had herniated through the fossa of Waldeyer.Post-operatively, the patients are healthy and symptom-free at 4 and 3 years follow-up, respectively.The rarity of this condition and the need for early diagnosis, to prevent the high risk of bowel obstruction and strangulation, makes PDH one of the difficult challenges for the clinicians.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Armed Forces Medical College, Pune, Maharashtra, India.

No MeSH data available.


Related in: MedlinePlus