Case Report
Copyright ©2005 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Nov 7, 2005; 11(41): 6557-6559
Published online Nov 7, 2005. doi: 10.3748/wjg.v11.i41.6557
Left paraduodenal hernia presenting as recurrent small bowel obstruction
Yu-Min Huang, Andy Shau-Bin Chou, Yung-Kang Wu, Chao-Chuan Wu, Ming-Che Lee, Haw-Tzong Chen, Yao-Jen Chang
Yu-Min Huang, Yung-Kang Wu, Chao-Chuan Wu, Ming-Che Lee, Haw-Tzong Chen, Yao-Jen Chang, Department of Surgery, Buddhist Tzu Chi General Hospital, Hualien, Taiwan, China
Andy Shau-Bin Chou, Department of Radiology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan, China
Author contributions: All authors contributed equally to the work.
Correspondence to: Dr. Yao-Jen Chang, Department of Surgery, Buddhist Tzu-Chi General Hospital, No. 707, Sec. 3, Chung Yang Road, Hualien City, Hualien County 970, Taiwan, China. y.m.huang@yahoo.com.tw
Telephone: +886-3-8561825-2229 Fax: +886-3-8577161
Received: April 7, 2005
Revised: April 27, 2005
Accepted: April 30, 2005
Published online: November 7, 2005
Abstract

Internal herniation of the small bowel is a relatively rare cause of intestinal obstruction. Left paraduodenal hernia resulting from abnormal rotation of the midgut during embryonic development is the most common form of congenital internal hernia. We report our experience in the diagnosis and management of a young male with left paraduodenal hernia presenting as recurrent intestinal obstruction. Correct preoperative diagnosis of left paraduodenal hernia had been difficult due to non-specific clinical presentations, but the advent of modern imaging technology makes early and correct diagnosis possible. Due to the risk of obstruction and strangulation, surgical treatment is indicated; however, timely intervention increases the likelihood of a favorable outcome.

Keywords: Internal hernia, Paraduodenal hernia, Small bowel obstruction