Trigui Ayman, Guirat Ahmed, Rejab Haitham, Kardoun Nizar, Frikha Foued, Amar Mohamed B, Beyrouti Mohamed I
Department of General Surgery, Habib Bourguiba Hospital, 3027 Sfax, Tunisia.
Niger J Surg. 2012 Jul;18(2):97-9. doi: 10.4103/1117-6806.103117.
Internal hernias of the abdomen are uncommon. They represent less than 1% of bowel obstruction cases. The left Paraduodenal hernia (PH) is the most frequent type of internal hernias. We report a case of 77 year- old woman consulting for bowel obstruction evolving since two days. The abdominal computed tomography revealed a retroperitoneal small bowel contained in a peritoneal sac. The surgical exploration confirmed the diagnosis of a left internal PH by showing incarcerated jejunal loops in a PH through a narrow opening to the left of the angle of Treitz. A surgical reduction of the hernia and closure of the hernia neck were performed. The follow-ups were uncomplicated. Through this observation and a literature review, we try to recall the clinical and radiological characteristics of this disease and to clarify the therapeutic modalities.
腹内疝并不常见。它们在肠梗阻病例中所占比例不到1%。左十二指肠旁疝（PH）是最常见的腹内疝类型。我们报告一例77岁女性患者，因肠梗阻前来就诊，症状已持续两天。腹部计算机断层扫描显示腹膜囊内有一段腹膜后小肠。手术探查通过在Treitz韧带角左侧一个狭窄开口处发现嵌顿在PH内的空肠袢，确诊为左腹内PH。进行了疝修补和疝颈闭合手术。随访过程无并发症。通过该病例观察及文献复习，我们试图回顾该疾病的临床和影像学特征，并阐明治疗方式。
