Left paraduodenal hernia treated by single-incision laparoscopic surgery: a case report

Abstract

Background Paraduodenal hernia is a rare internal hernia which accounts for only 1% of all intestinal hernias. There have been limited reported cases of paraduodenal hernia treated by laparoscopic surgery. We report a case of left paraduodenal hernia that was successfully treated by single-incision laparoscopic surgery (SILS). Case presentation A 17-year-old woman presented with left upper abdominal pain. An abdominal enhanced multi-detector computed tomography demonstrated encapsulated cluster of small bowel loops in the left upper quadrant which passed through the dorsal side of the inferior mesenteric vein, and showed that blood flow of the prolapsed small bowel was preserved. We preoperatively diagnosed left paraduodenal hernia without ischemia or necrosis. We performed elective SILS because she was a young actress training school student and cosmetic benefit was thought to be important. We pulled out the protruded small bowel and closed a defect with a running suture by SILS. The patient was discharged 3 days after the surgery with no complications. Conclusions We reported the case of left paraduodenal hernia successfully diagnosed and treated by SILS.

Intestinal malrotation in adult : a unique case combining parduodenal hernia and complete common mesentery

“…According to our review of the literature, nearly thirty cases of left paraduodenal hernia have been treated by laparoscopic surgery [10] and the various authors agree that this approach is safe and offers several advantages such as less postoperative pain, earlier intake of diet and shorter hospital stay as was the case for our patient.…”

“…Regardless of the type of repair, the laparoscopic approach in this type of situation offers several advantages for both the defnitive diagnosis, treatment of the hernia and its complication [10].…”

Large left paraduodenal hernia identified and repaired by laparoscopy: A case report

“… 16 According to our experience, our team prefers closing the hernial orifice to wide opening, because the former can result in a reduction of recurrence without significantly increasing the risk of displacement of the inferior mesenteric vein. Compared with reduction of the hernia contents, treating the hernia orifice is thought to be more difficult and is associated with some complications, 17 , 18 including the inferior mesenteric vein injury or recurrence.…”