Open AccessPARADUODENAL HERNIA- AN OBSCURE AND PERILOUS CAUSE OF INTESTINAL OBSTRUCTION.
Author(s) -
Rajesh Kumar Soni,
Dharmendra Kumar Patel,
Ashwani Gupta,
Raghav Garg,
Ratnakar Namdeo
Publication year - 2020
Publication title -
international journal of medical and biomedical studies
Language(s) - English
Resource type - Journals
eISSN - 2589-8698
pISSN - 2589-868X
DOI - 10.32553/ijmbs.v4i7.1222
Subject(s) - medicine , exploratory laparotomy , mesentery , laparotomy , internal hernia , surgery , hernia , presentation (obstetrics) , abdomen , acute abdomen , bowel obstruction , general surgery , gold standard (test) , radiology
Paraduodenal hernias (PDH) constitute more than half of internal hernias. Both left and right PDH occur due to error of rotation of gut and defective fusion of mesocolon and mesentery with posterior parietal peritoneum. Clinical diagnosis of PDH is very difficult because of its varied presentation and nonspecific symptoms. Prompt diagnosis and surgery is imperative to avoid strangulation of bowel which is associated with high mortality. Before the advent of CECT many were discovered during exploratory laparotomy or unrelated abdominal surgery. Now CECT abdomen has become the gold standard for pre-operative diagnosis of PDH. We report two cases of PDH, one on left side and another on right side, diagnosed preoperatively and treated successfully.
Keywords: Paraduodenal hernia, Mesocolic hernia, Treitz hernia, Internal hernia