Bhartia Vishnu, Kumar Anil, Khedkar Indira, Savita K S, Goel N
Institute of Minimally Invasive Surgery (IMIS), A.M.R.I. Hospital, Dhakuria, Kolkata, India.
J Minim Access Surg. 2009 Oct;5(4):121-3. doi: 10.4103/0972-9941.59313.
Para duodenal hernia is among the uncommon and rare causes of intestinal obstruction, but it is the most common type of internal hernia in abdomen and accounts for more than half of cases that do occur. Here, we are reporting a case of right Para duodenal hernia, reduced and repaired laparoscopically. This thirteen year old girl presented to us with features of small bowel obstruction of two days duration. Plain abdominal X-ray showed multiple fluid levels confined to right side of abdomen. A diagnostic laparoscopy was done under General Anaesthesia. Right Para duodenal hernia was found with small bowel confined to the right side between the ascending colon and hepatic flexure of colon. Laparoscopic reduction of contents of the hernia was done starting from the Ileocaecal junction. Hernial opening was closed laparoscopically with nonabsorbable suture. Patient is quite well till date and has had no recurrence of symptoms.
十二指肠旁疝是肠梗阻的罕见病因之一，但它是腹部最常见的内疝类型，占所有发生病例的一半以上。在此，我们报告一例通过腹腔镜进行复位和修补的右十二指肠旁疝病例。这名13岁女孩因持续两天的小肠梗阻症状前来就诊。腹部平片显示多个液平面局限于腹部右侧。在全身麻醉下进行了诊断性腹腔镜检查。发现右十二指肠旁疝，小肠局限于升结肠和结肠肝曲之间的右侧。从回盲部开始对疝内容物进行腹腔镜复位。用不可吸收缝线腹腔镜关闭疝孔。患者至今情况良好，未出现症状复发。
