An interesting case of left paraduodenal hernia.

Authors

  • Sahar Saeed Punjab Rangers Teaching Hospital, Lahore.
  • Abeera Butt King Edward Medical University, Lahore.
  • Syed Asghar Naqi King Edward Medical University, Mayo Hospital, Lahore.
  • Muhammad Mohsin Ali King Edward Medical University, Lahore.

DOI:

https://doi.org/10.29309/TPMJ/2021.28.05.4648

Keywords:

General Surgery, Hernia Surgery, Paraduodenal Fossa Hernia, Small Bowel Obstruction

Abstract

Paraduodenal fossa hernias (PDFHs) represent 53% of all congenital internal hernias and 0.2-0.9% of all small bowel obstructions. Most of these hernias are diagnosed incidentally on laparotomy, and carry up to 50% lifetime risk of development of small bowel obstruction. We present our experience in diagnosing and treating a case of a massive left paraduodenal fossa hernia in a 17 year male, containing over 30% of the small bowel (jejunum and ileum), presenting with a history of recurrent incomplete small bowel obstruction. Plain abdominal radiography showed distended loops of jejunum and few air fluid levels. After laparotomy and identification of hernia, small gut was reduced and examined, which was found to be structurally and functionally intact with normal vascularity. The defect was closed with continuous absorbable suture (Vicryl 2-0) sparing the inferior mesenteric vessels. Patient’s post-operative recovery remained uneventful and he was discharged on 4th post-operative day.

Author Biographies

Sahar Saeed, Punjab Rangers Teaching Hospital, Lahore.

MBBS, FCPS (General Surgery)

Senior Registrar General Surgery

 

Abeera Butt, King Edward Medical University, Lahore.

MBBS

Post-graduate Resident General Surgery

Syed Asghar Naqi, King Edward Medical University, Mayo Hospital, Lahore.

MBBS, FCPS, FRCS

Professor Chairman General Surgery & Head East Surgical Ward

Muhammad Mohsin Ali, King Edward Medical University, Lahore.

MBBS

Medical Officer General Surgery

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Published

2021-05-10