Treitz Hernia: Report of a Case and Review of the Literature

Abstract

Introduction: Congenital hernias are rare findings, and their diagnosis is often delayed due to an incorrect interpretation of the clinical symptoms and/or images. We present a rare case of leftsided paraduodenal hernia at the ligament of Treitz, followed by a review of the literature.Case Presentation: We report the case of a 20-year-old patient with unusual, recurring abdominal pain in the past 3 months. There were no previous operations or past illnesses in the patient's history. The computed tomographic scan showed a misplacement of small bowel into the lesser sack. With high suspicion of an internal hernia, we performed a diagnostic laparoscopy, which revealed a Treitz hernia. The reduction and fixation could be carried out fully with minimally invasive surgery with an uneventful postoperative course and complete recovery. Conclusion:A Treitz hernia is a rare cause of unspecific abdominal pain and the clinical signs are difficult to interpret. However, its knowledge may help to avoid emergency procedures and provide quick recovery of the patients. We recommend the laparoscopic approach as the first choice of treatment in all cases of internal hernia in the absence of peritoneal irritation or severe bowel obstruction.

Extensive small bowel necrosis due to congenital para duodenal hernia: A diagnostic and therapeutic challenge: Case Report

“…However, its recognition can help to avoid emergency interventions and ensure prompt treatment of patients. Therefore, we recommend the laparoscopic procedure as the reference approach for the management of internal hernias, In the absence of evidence of complications such as perforation leading to acute peritonitis or intestinal strangulation involving intestinal necrosis [ 6 ]. We describe in this article the case of a patient for whom an extensive intestinal resection was indicated in the presence of intestinal gangrene that had spared 95 cm of the large intestine.…”