Amodio Pietro Maria, Alberti Aldo, Bigonzoni Eugenio, Piciollo Maurizio, Fortunati Tiziano, Alberti Domenico
U.O.C. Chirurgia d'Urgenza e Vascolare, Ospedale Belcolle, Viterbo.
Chir Ital. 2008 Sep-Oct;60(5):721-4.
Paraduodenal hernia is a rare internal congenital hernia due to an embryological abnormality. It is often associated with non-specific abdominal symptoms. In this report the authors describe the case of a woman who was referred to the emergency ward for intestinal obstruction. Preliminary examinations (x-ray and computed tomography scan) failed to yield a clear diagnosis. The patient underwent a surgical procedure and a left paraduodenal hernia was diagnosed. A sound knowledge of embryological anatomy is essential for safe, effective surgical treatment of such internal hernias. A review of the literature confirms that this congenital abnormality is rare and that its diagnosis is the most difficult step in its therapeutic management.