98%
921
2 minutes
20
Background: Considering that right paraduodenal hernia is a rare internal hernia with abnormal anatomy and is often encountered during an emergency, surgeons may lack knowledge about it and choose incorrect treatment. Thus, this case report is a helpful complement to the few previously reported cases of right paraduodenal hernia. Additionally, we reviewed all the reported right paraduodenal hernia cases and proposed appropriate surgical strategies according to different anatomical features.
Case Presentation: The case involved a 33-year-old Chinese male patient who was admitted to the hospital due to abdominal pain. The patient was initially diagnosed with small bowel obstruction, and conservative treatment failed. An emergency operation was arranged, during which a diagnosis of right paraduodenal hernia was made instead. After surgery, the patient recovered well without abdominal pain for 2 years.
Conclusion: Although right paraduodenal hernia accounts only for a small proportion of paraduodenal hernia, its anatomical characteristics can vary considerably. We divided right paraduodenal hernia into three types, with each type requiring a different surgical strategy.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10757357 | PMC |
http://dx.doi.org/10.1186/s13256-023-04286-1 | DOI Listing |
Int J Surg Case Rep
August 2025
National Academy of Medical Sciences, NAMS, Bir Hospital, Department of Radiodiagnosis, Kathmandu, Province-3, Nepal. Electronic address:
Introduction And Importance: Paraduodenal hernias (PDH) are the most common type of internal hernia, accounting for 53 % of cases, but remain a rare cause of intestinal obstruction overall. Left PDH, comprising about 75 % of all PDHs, can present with vague gastrointestinal symptoms or acute obstruction, with a high risk of strangulation and bowel ischemia. Early diagnosis and prompt surgical management are essential to reduce morbidity and mortality.
View Article and Find Full Text PDFJ Surg Case Rep
August 2025
Colorectal Surgery, Centre Hospitalier de l'Université de Montréal, Saint-Denis Street, Montreal, QC H2X029, Canada.
Left paraduodenal hernias, an abnormal protrusion of abdominal organs through a peritoneal defect into the fossa of Landzert, are a rare cause of small bowel obstruction. We present the case of a 21-year-old man with intermittent abdominal pain over several months. Diagnostic laparoscopy confirmed a left paraduodenal hernia.
View Article and Find Full Text PDFBMJ Case Rep
June 2025
General Surgery, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India
Paraduodenal hernia is the most common type of internal hernia, accounting for 30-50% of cases. It often results from congenital defects caused by errors during intestinal rotation and fixation during embryonic development. These hernias can present as nonspecific abdominal pain or acute intestinal obstruction, making diagnosis challenging.
View Article and Find Full Text PDFCureus
May 2025
General Surgery, Sree Balaji Medical College & Hospital, Chennai, IND.
Paraduodenal hernia (PDH), also known as mesocolic hernia, is a rare internal hernia resulting from a congenital anomaly caused by improper retroperitoneal fixation of the mesentery due to abnormal midgut rotation. Although uncommon, internal hernias can cause acute intestinal obstruction and pose a life-threatening risk if not promptly diagnosed and managed. This case report presents a 25-year-old male with a two-month history of progressively worsening abdominal pain, exacerbated by food intake and accompanied by vomiting.
View Article and Find Full Text PDFCureus
May 2025
Osteopathic Medicine/Family Medicine, Lake Erie College of Osteopathic Medicine, Elmira, USA.
Landzert's paraduodenal hernia is a rare congenital internal hernia that results from the failure of the left mesentery to fuse completely with the parietal peritoneum during embryological development. This creates a congenital defect, the fossa of Landzert, through which small bowel loops can herniate into the retroperitoneum, leading to intermittent or acute small bowel obstruction (SBO). We present the case of a 33-year-old man with a history of episodic postprandial abdominal pain who presented with acute-onset severe abdominal pain, nausea, and vomiting.
View Article and Find Full Text PDF