Acute intestinal obstruction secondary to left paraduodenal hernia: a case report and literature review

Introduction: An internal hernia is a protrusion of bowel through a normal or abnormal orifice in the peritoneum or mesentery. Although they are considered as a rare cause of intestinal obstruction, paraduodenal hernias are the most common type of congenital hernias. Methods: A literature search...

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Main Authors: Al-Khyatt, Waleed, Aggarwal, Smeer, Birchall, James, Rowlands, Timothy E.
Format: Article
Published: BioMed Central 2013
Online Access:https://eprints.nottingham.ac.uk/2944/
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author Al-Khyatt, Waleed
Aggarwal, Smeer
Birchall, James
Rowlands, Timothy E.
author_facet Al-Khyatt, Waleed
Aggarwal, Smeer
Birchall, James
Rowlands, Timothy E.
author_sort Al-Khyatt, Waleed
building Nottingham Research Data Repository
collection Online Access
description Introduction: An internal hernia is a protrusion of bowel through a normal or abnormal orifice in the peritoneum or mesentery. Although they are considered as a rare cause of intestinal obstruction, paraduodenal hernias are the most common type of congenital hernias. Methods: A literature search using PubMed was performed to identify all published cases of left paraduodenal hernia (LPDH). Results: In Literature search between 1980 and 2012 using PubMed revealed only 44 case reports before the present one. Median age was 47 years (range 18 – 82 years). Nearly 50% reported previous mild symptoms. Two-third of patients required emergency surgery in form of laparotomy or laparoscopic repair. Reduction of hernia contents with widening or suture repair of the hernia orifice were the most common standards in surgical management of LPDH. Conclusion: Intestinal obstruction secondary to internal hernias is a rare presentation. High index of suspicion and preoperative imaging are essential to make an early diagnosis in order to improve outcome.
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spelling nottingham-29442020-05-04T16:35:26Z https://eprints.nottingham.ac.uk/2944/ Acute intestinal obstruction secondary to left paraduodenal hernia: a case report and literature review Al-Khyatt, Waleed Aggarwal, Smeer Birchall, James Rowlands, Timothy E. Introduction: An internal hernia is a protrusion of bowel through a normal or abnormal orifice in the peritoneum or mesentery. Although they are considered as a rare cause of intestinal obstruction, paraduodenal hernias are the most common type of congenital hernias. Methods: A literature search using PubMed was performed to identify all published cases of left paraduodenal hernia (LPDH). Results: In Literature search between 1980 and 2012 using PubMed revealed only 44 case reports before the present one. Median age was 47 years (range 18 – 82 years). Nearly 50% reported previous mild symptoms. Two-third of patients required emergency surgery in form of laparotomy or laparoscopic repair. Reduction of hernia contents with widening or suture repair of the hernia orifice were the most common standards in surgical management of LPDH. Conclusion: Intestinal obstruction secondary to internal hernias is a rare presentation. High index of suspicion and preoperative imaging are essential to make an early diagnosis in order to improve outcome. BioMed Central 2013-01-16 Article PeerReviewed Al-Khyatt, Waleed, Aggarwal, Smeer, Birchall, James and Rowlands, Timothy E. (2013) Acute intestinal obstruction secondary to left paraduodenal hernia: a case report and literature review. World Journal of Emergency Surgery, 8 (5). 5/1-5/5. ISSN 1749-7922 http://www.wjes.org/content/8/1/5 doi:10.1186/1749-7922-8-5 doi:10.1186/1749-7922-8-5
spellingShingle Al-Khyatt, Waleed
Aggarwal, Smeer
Birchall, James
Rowlands, Timothy E.
Acute intestinal obstruction secondary to left paraduodenal hernia: a case report and literature review
title Acute intestinal obstruction secondary to left paraduodenal hernia: a case report and literature review
title_full Acute intestinal obstruction secondary to left paraduodenal hernia: a case report and literature review
title_fullStr Acute intestinal obstruction secondary to left paraduodenal hernia: a case report and literature review
title_full_unstemmed Acute intestinal obstruction secondary to left paraduodenal hernia: a case report and literature review
title_short Acute intestinal obstruction secondary to left paraduodenal hernia: a case report and literature review
title_sort acute intestinal obstruction secondary to left paraduodenal hernia: a case report and literature review
url https://eprints.nottingham.ac.uk/2944/
https://eprints.nottingham.ac.uk/2944/
https://eprints.nottingham.ac.uk/2944/