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CASE REPORT
Year : 2015  |  Volume : 3  |  Issue : 3  |  Page : 79-81

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


Department of General Surgery, King Khalid Hospital, Hail, Saudi Arabia

Correspondence Address:
Dr. Alaa Mohamed Sedik
Department of General Surgery, King Khalid Hospital, Hail
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2320-3846.178679

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An internal hernia is a protrusion of bowel through a normal or abnormal orifice in the peritoneum or mesentery. Although they are considered a rare cause (1%) of small intestinal obstruction. Paraduodenal hernias are the most common type of congenital hernias. They constitute a protrusion of bowel into an orifice near the third and fourth portion of the duodenum. The lifetime risk of obstruction and bowel strangulation is around 50% with a mortality of 20% and higher. Despite the rarity of the disease, it poses a serious surgical problem. The high risk of obstruction and the associated mortality mandate repair once the diagnosis is established. High index of suspicion and preoperative imaging are essential to make an early diagnosis to improve outcome.


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