Yonsei Med J.  2010 Sep;51(5):787-789. 10.3349/ymj.2010.51.5.787.

Left Paraduodenal Hernia Presenting with Atypical Symptoms

• Yun MY
• Choi YM
• Choi SK
• Kim SJ
• Ahn SI
• Kim KR

• KMID: 1071435
• DOI: http://doi.org/10.3349/ymj.2010.51.5.787

Abstract

Paraduodenal hernias are a rare congenital malformation, but they are the most common internal hernias. They develop secondary to a failure in midgut rotation, which may lead to small bowel obstruction or other clinical manifestations. The authors recently experienced a case of a left paraduodenal hernia presenting with unusual symptoms of left flank pain and vomiting.

Keyword

Paraduodenal hernia; small bowel obstruction; left flank pain

MeSH Terms

Adult
Hernia/*complications/*diagnosis/pathology/surgery
Humans
Intestinal Obstruction/*etiology/surgery
Male

Figure

• 

  Fig. 1 Computed tomography showed a saclike mass (arrow) of jejunal loops in the left upper quadrant interposed between the transverse colon and kidney.

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  Fig. 2 Small bowel follow-through radiographs showed a separation of the encapsulated jejunal loops (arrow) from the remaining small intestine (A) and a cluster of jejunum (SB) interposing between the stomach (St) and the spine (Sp) (B).

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  Fig. 3 Intraoperative view from the root of the transverse mesocolon reveals the hernia orifice (narrow arrow) through which the small bowel (SB) herniated.

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