Siddika Arifa, Coleman Alistair H L, Pearson Thomas E
Colorectal surgery, Broomfield Hospital, Chelmsford, UK.
FY1 Colorectal Surgery, Broomfield Hospital, Chelmsford, UK
J Surg Case Rep. 2013 Oct 4;2013(10):rjt079. doi: 10.1093/jscr/rjt079.
Paraduodenal hernia is an uncommon cause of acute abdominal pain; however, it is the commonest of internal herniation. Computer tomography of the abdomen is diagnostic. Although it is a rare cause of intestinal obstruction, it is estimated that more than half of paraduodenal hernias develop symptoms. We present a case of left paraduodenal hernia that presented with acute abdominal pain and a left upper abdominal mass. Symptoms resolved spontaneously and a planned Laparoscopic repair was performed. The malpositioned small intestine was reduced from the hernia sac and the hernial orifice was closed. The patient made a rapid recovery with no recurrence of symptoms at 3-year follow-up.
十二指肠旁疝是急性腹痛的罕见原因；然而，它是最常见的内疝。腹部计算机断层扫描具有诊断作用。虽然它是肠梗阻的罕见原因，但据估计，超过一半的十二指肠旁疝会出现症状。我们报告一例左侧十二指肠旁疝病例，该病例表现为急性腹痛和左上腹肿块。症状自行缓解，随后进行了计划性腹腔镜修补术。将位置异常的小肠从疝囊中还纳，并关闭疝孔。患者恢复迅速，在3年随访中症状未复发。
