Left paraduodenal hernia

Tireli, Mustafa

doi:10.1002/bjs.1800690219

Cited by 7 publications

(13 citation statements)

References 3 publications

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“…Literature search between 1980 and 2012 using PubMed revealed only 44 case reports before the present one [2,5,11-49] (Table 1). Median age at presentation was 47 (range of 18–82 years old) with male to female ratio of 3:1.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2013

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IntroductionAn 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.MethodsA literature search using PubMed was performed to identify all published cases of left paraduodenal hernia (LPDH).ResultsIn 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.ConclusionIntestinal 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.

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Section: Discussionmentioning

confidence: 99%

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

et al. 2013

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“…The size of the hernia orifice in LPDH predisposes to incarceration or strangulation, as this is consistently small unlike the hernia volume that is more variable 1 11. Only several previous reports have described subtotal herniation of the small bowel within the fossa of Landzert, as seen in this case 1–3 9 12 13…”

Section: Discussionmentioning

confidence: 69%

“…The fossa of Landzert is located lateral to the fourth part of the duodenum, posterior to the inferior mesenteric vein (IMV) and the ascending branch of the ascending left colic artery (LCA), directly beneath the posterior parietal peritoneum 1 8. Most authors seem to agree that the defect is purely congenital, resultant from malrotation of the mid-gut and failure of the inferior mesentery to fuse with the posterior parietal peritoneum in early gestation 8 9. The small bowel is consequently entrapped beneath the developing colon and remains interposed between the left mesocolon and the posterior abdominal wall 2 4.…”

Section: Introductionmentioning

confidence: 99%

Giant left paraduodenal hernia

Cundy¹,

Marco

Hamady

et al. 2014

BMJ Case Reports

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SUMMARYLeft paraduodenal hernia (LPDH) is a retrocolic internal hernia of congenital origin that develops through the fossa of Landzert, and extends into the descending mesocolon and left portion of the transverse mesocolon. It carries significant overall risk of mortality, yet delay in diagnosis is not unusual due to subtle and elusive features. Familiarisation with the embryological and anatomical features of this rare hernia is essential for surgical management. This is especially important with respect to vascular anatomy as major mesenteric vessels form intimate relationships with the ventral rim and anterior portion of the hernia. As an illustrative case, we describe our experience with a striking example of LPDH, particularly focusing on the inherent diagnostic challenges and associated critical vascular anatomy. We advocate the role of diagnostic laparoscopy; however caution that decision to safely proceed with laparoscopic repair must occur only with confident identification of the vascular anatomy involved. BACKGROUND

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“…2 The left paraduodenal hernia occurs if the small intestine invaginates the connective tissue beyond the descending mesocolon, after failing to fully rotate counterclockwise around the superior mesenteric vein. 7,8 The anterior edge of the hernia sac is the mesocolon that contains the inferior mesenteric vein and the left colic artery. The inferior mesenteric vein forms the neck of the hernia sac.…”

Section: Discussionmentioning

confidence: 99%