Right-sided paraduodenal hernia with malrotation - A case report

Poudel, Navin; Adhikari, Aramva Bikram; Acharya, Kshitiz; Upadhyay, Devansh; Sharma, Deepak; Pradhan, Sumita; Bhandari, Ramesh Singh

doi:10.1016/j.amsu.2021.103135

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…The association of internal hernias with congenital intestinal malrotation with simultaneous internal hernia has been cited in the literature with para-duodenal hernias being the most common (53%) (left > right) [11][12][13][14], however, in our case we present a patient with a trans-meso-colic hernia (prevalence ranging from 2% to 10%) [15,16] of the ascending colon. Trans-meso-colic hernias are most often represented by those traversing the transverse mesocolon with those of the ascending colon being exceedingly rare, with only three noted in the literature [17].…”

Section: Discussionmentioning

confidence: 66%

Adult Intestinal Malrotation With Congenital Transverse Meso-Colic Internal Hernia: An Infrequent Cause of Small Bowel Obstruction

Islam,

Mahabir,

Harkissoon

et al. 2024

Cureus

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Adult intestinal malrotation along with congenital transverse-mesocolic internal hernia causing small bowel obstruction is extremely rare. Most of these patients don't have any obvious clinical symptoms. Only a few cases have been documented in the English literature. We present the unique case of a 43-year-old male without any prior surgical history who presented with nonspecific abdominal pain and was diagnosed with malrotation of the small intestine by computed tomography (CT) scan and underwent exploratory laparotomy found to have internal herniation through the transverse-mesocolon. The patient underwent an emergency laparotomy; a Ladd’s procedure and repair of the hernial orifice were performed. This case highlights the association of adult intestinal malrotation with internal hernias and small bowel obstruction; it also explores the importance of timely diagnosis and adequate management of this condition.

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Section: Discussionmentioning

confidence: 66%

Adult Intestinal Malrotation With Congenital Transverse Meso-Colic Internal Hernia: An Infrequent Cause of Small Bowel Obstruction

Islam,

Mahabir,

Harkissoon

et al. 2024

Cureus

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Right paraduodenal hernia, classification, and selection of surgical methods: a case report and review of the literature

Wang,

Jin,

et al. 2023

J Med Case Reports

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Background Considering that right paraduodenal hernia is a rare internal hernia with abnormal anatomy and is often encountered during an emergency, surgeons may lack knowledge about it and choose incorrect treatment. Thus, this case report is a helpful complement to the few previously reported cases of right paraduodenal hernia. Additionally, we reviewed all the reported right paraduodenal hernia cases and proposed appropriate surgical strategies according to different anatomical features. Case presentation The case involved a 33-year-old Chinese male patient who was admitted to the hospital due to abdominal pain. The patient was initially diagnosed with small bowel obstruction, and conservative treatment failed. An emergency operation was arranged, during which a diagnosis of right paraduodenal hernia was made instead. After surgery, the patient recovered well without abdominal pain for 2 years. Conclusion Although right paraduodenal hernia accounts only for a small proportion of paraduodenal hernia, its anatomical characteristics can vary considerably. We divided right paraduodenal hernia into three types, with each type requiring a different surgical strategy.

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Right Paraduodenal Hernia as a Cause of Acute Abdominal Pain in the Emergency Department: A Case Report and Review of the Literature

et al. 2022

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Paraduodenal hernias (PDHs) represent an unusual cause of acute abdominal pain in the Emergency Department (ED) and are associated with high morbidity attributable to a challenging clinical and radiological diagnosis, as signs and symptoms mimic other frequent causes of acute abdominal pain. We report a right paraduodenal hernia in a 37-year-old female patient who presented to the ED complaining of abdominal pain located in the right lower abdomen and hypogastrium, accompanied by nausea. During diagnostic work up, the abdominal computed tomography scan revealed the presence of small bowel malrotation with concomitant right paraduodenal hernia. These findings were confirmed intraoperatively. We performed a brief literature review about the clinical manifestations and treatment options of right paraduodenal hernias, which retrieved only 30 articles related to this condition. Prompt diagnosis, radiological or intraoperative, of paraduodenal hernias is crucial because nearly 50% will progress to small bowel obstruction. Therefore, it is essential for every clinician to account for them in the differential diagnosis of acute abdominal pain in the ED.

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Right-sided paraduodenal hernia with malrotation - A case report

Cited by 3 publications

References 13 publications

Adult Intestinal Malrotation With Congenital Transverse Meso-Colic Internal Hernia: An Infrequent Cause of Small Bowel Obstruction

Adult Intestinal Malrotation With Congenital Transverse Meso-Colic Internal Hernia: An Infrequent Cause of Small Bowel Obstruction

Right paraduodenal hernia, classification, and selection of surgical methods: a case report and review of the literature

Right Paraduodenal Hernia as a Cause of Acute Abdominal Pain in the Emergency Department: A Case Report and Review of the Literature

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