World Journal of Medical and Surgical Case Reports Volume No 9

Case Report Open Access

Laparoscopic Approach in a case of Left Paraduodenal Hernia

Ana Margarida Cinza, Mário Pereira, Melo Miguel Rocha, Joana Oliveira, Cristina Velez, Rita Lima, Margarida Amaro and Jorge Caravana
World Journal of Medical and Surgical Case Reports 2020, 9:4

Abstract

Background

The Para duodenal hernia represents a herniation of the small intestine in a peritoneal sac found in the fourth portion of the duodenum and it stands as a rare cause for intestinal obstruction.

Case Presntation

The case reports to a 30-year-old male patient diagnosed with a left internal Para duodenal hernia. The patient was admitted for a laparoscopic approach, being submitted to closure of the hernia hole in topography below the Treitz angle. The postoperative period was uneventful.

Conclusions

It is crucial to include Para duodenal hernia in any list of differential diagnosis related to patients with recurrent abdominal pain and occlusive / sub occlusive episodes, in the absence of previous surgeries, abdominal wall hernias or inflammatory bowel disease. When referring to an elective context, the laparoscopic approach is the most appropriate, since it reduces morbidity, postoperative pain and hospitalization time.

Key Words

paraduodenal hernia; minimally invasive surgery; elective surgery




Download PDF    Full Text