Left Paraduodenal Hernia: A Rare Complication following Laparoscopic Appendectomy

Kozman, Mathew A.; Fisher, Oliver M.

doi:10.1155/2017/3913784

Cited by 5 publications

(6 citation statements)

References 14 publications

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“…6,7 Kozman and Fisher reported a case of LPDH postlaparoscopic appendectomy in a 15-yearold female patient. 8 We report a case of LPDH in an atypical patient profile, that is, young and female.…”

Section: Discussionmentioning

confidence: 97%

Left Paraduodenal Hernia Presenting as Closed Loop Jejunal Obstruction in a Young Female: An Enigmatic and Perilous Differential of Acute Abdomen

et al. 2021

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Internal hernia is a rare cause of intestinal obstruction, accounting for <2% of cases with paraduodenal type being the most common. An internal hernia, mostly acquired, develops due to protuberance of the intestine through a gap in the peritoneum or mesentery formed as a result of an antecedent abdominal operation such as gastric bypass or liver transplant, ischemic injury, peritonitis, or trauma. Paraduodenal hernias (PDHs) are congenital anomalies, secondary to a failed fusion of mesentery with parietal peritoneum along with rotational midgut errors, causing the evolution of potential space for herniation within the left paraduodenal fossa. Primary internal hernias can have a varied clinical presentation and cause significant mortality and morbidity if left untreated. We report the case of a 20-year-old female with chronic pain in abdomen and intestinal obstruction due to left PDH (LPDH). The prompt diagnosis led to timely exploration and reduction of entrapped jejunum, with prudent closure of the hiatus, while circumventing any injury to the adjacent mesenteric circulation. No postoperative ileus arose, and recovery was uneventful.

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Section: Discussionmentioning

confidence: 97%

Left Paraduodenal Hernia Presenting as Closed Loop Jejunal Obstruction in a Young Female: An Enigmatic and Perilous Differential of Acute Abdomen

et al. 2021

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“…Paraduodenal hernias are rare variety of internal hernias, but among internal hernias they account for approximately (30-53%) of all internal hernias. 4 There are two varieties of paraduodenal hernia known: right sided (into fossa of Kolb) and left sided (into fossa of Landzert). 4 Left sided are 3 times more common than right, more common in men and are mostly congenital.…”

Section: Discussionmentioning

confidence: 99%

“…4 There are two varieties of paraduodenal hernia known: right sided (into fossa of Kolb) and left sided (into fossa of Landzert). 4 Left sided are 3 times more common than right, more common in men and are mostly congenital. 2,4 They have a variable spectrum of presentation.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic management of left paraduodenal hernia: a rare case report

et al. 2020

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An internal hernia is any protrusion of a solid organ or a hollow viscus through a defect within the abdominal cavity. Paraduodenal hernias are rare, but are the most common variety of internal hernias. We present a rare case of a left sided paraduodenal hernia in a 26 years old otherwise healthy male who presented in emergency department with intermittent colicky upper abdominal pain. Left paraduodenal hernia was diagnosed pre operatively in a computer tomography scan. Hence patient was offered a laparoscopic repair. Our search via online search engines revealed very few case reports of Paraduodenal hernias which were repaired laparoscopically. We believe that in expert hands, paraduodenal hernias should be managed with laparoscopic technique as it significantly reduces morbidity and hospital stay.

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“…Of all cases of PDH, left PDH constitutes 75% and right PDH constitutes 25% [1]. The most common presentation of PDH is in the 4th-5th decade of life, with male to female ratio being 3:1 [8]. Patients may present with non-specic symptoms such as nausea, vomiting, or dull aching long term abdominal pain.…”

Section: Discussionmentioning

confidence: 99%

A Laparoscopic Comparative Study of Right and Left Paraduodenal Herniae : A Tale of Two Cities

Shelke¹,

Joshi

2020

ijsr

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It was the best of times, it was the worst of times…’, thus began Charles Dickens in his classic novel ‘A Tale Of Two Cities’. We revisit right and left Paraduodenal herniae(PDH) in this article. Our ‘two cities’ are the fossae of Waldeyer and Landzert respectively. We think the times are the best as of present day, since cutting edge diagnostic tools(CECT abdomen) offer us an unambiguous diagnosis of PDH. Also the advent of minimal access surgery from the last decade of the twentieth century onwards, has afforded us the luxury of treating PDH by laparoscopy. However these are also the worst of times since PDH, though rare, constitutes 53% of all internal hernias and if undiagnosed, can increase mortality rate upto 20%[1]. In this article, we attempt to make a side by side comparison of right and left PDH vis-à-vis their embryology, diagnosis, laparoscopic ‘first look appearance’, surgical therapy and the endresult.

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Left Paraduodenal Hernia: A Rare Complication following Laparoscopic Appendectomy

Cited by 5 publications

References 14 publications

Left Paraduodenal Hernia Presenting as Closed Loop Jejunal Obstruction in a Young Female: An Enigmatic and Perilous Differential of Acute Abdomen

Left Paraduodenal Hernia Presenting as Closed Loop Jejunal Obstruction in a Young Female: An Enigmatic and Perilous Differential of Acute Abdomen

Laparoscopic management of left paraduodenal hernia: a rare case report

A Laparoscopic Comparative Study of Right and Left Paraduodenal Herniae : A Tale of Two Cities

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