Lamprou Viktoria, Krokou Despoina, Karlafti Eleni, Panidis Stavros, Kougias Leonidas, Tzikos Georgios, Ioannidis Aristeidis, Netta Smaro, Thomaidou Evanthia, Paramythiotis Daniel
Radiology Department, University General Hospital of Thessaloniki AHEPA, 54636 Thessaloniki, Greece.
First Propaedeutic Surgery Department, University General Hospital of Thessaloniki AHEPA, 54636 Thessaloniki, Greece.
Diagnostics (Basel). 2022 Nov 9;12(11):2742. doi: 10.3390/diagnostics12112742.
Paraduodenal hernias (PDHs) represent an unusual cause of acute abdominal pain in the Emergency Department (ED) and are associated with high morbidity attributable to a challenging clinical and radiological diagnosis, as signs and symptoms mimic other frequent causes of acute abdominal pain. We report a right paraduodenal hernia in a 37-year-old female patient who presented to the ED complaining of abdominal pain located in the right lower abdomen and hypogastrium, accompanied by nausea. During diagnostic work up, the abdominal computed tomography scan revealed the presence of small bowel malrotation with concomitant right paraduodenal hernia. These findings were confirmed intraoperatively. We performed a brief literature review about the clinical manifestations and treatment options of right paraduodenal hernias, which retrieved only 30 articles related to this condition. Prompt diagnosis, radiological or intraoperative, of paraduodenal hernias is crucial because nearly 50% will progress to small bowel obstruction. Therefore, it is essential for every clinician to account for them in the differential diagnosis of acute abdominal pain in the ED.
十二指肠旁疝（PDHs）是急诊科急性腹痛的罕见病因，由于临床和影像学诊断具有挑战性，且体征和症状与急性腹痛的其他常见病因相似，故其发病率较高。我们报告一例37岁女性患者的右十二指肠旁疝，该患者因右下腹部和下腹部疼痛伴恶心到急诊科就诊。在诊断检查过程中，腹部计算机断层扫描显示存在小肠旋转不良并伴有右十二指肠旁疝。这些发现术中得到证实。我们对右十二指肠旁疝的临床表现和治疗选择进行了简要文献回顾，仅检索到30篇与该疾病相关的文章。十二指肠旁疝的快速诊断，无论是通过影像学还是术中诊断，都至关重要，因为近50%的患者会进展为小肠梗阻。因此，对于急诊科每一位临床医生而言，在急性腹痛的鉴别诊断中考虑到十二指肠旁疝至关重要。
