Giri Oviya Anjali, Bhat Sunay N, Kuppusamy Balu
Department of General and GI Surgery, PSG Institute of Medical Sciences and Research Centre, Coimbatore, India.
Department of Surgical Gastroenterology, PSG Institute of Medical Sciences and Research Centre, Coimbatore, India.
Surg Endosc. 2024 Jan;38(1):443-448. doi: 10.1007/s00464-023-10513-z. Epub 2023 Nov 27.
Paraduodenal hernias (PDH) are rare congenital internal hernias with non- specific symptoms. Left-sided paraduodenal hernia is three times more common than right-sided paraduodenal hernia with similar clinical presentation but different embryological origins.
We report a series of eight cases of paraduodenal hernia who presented with varied clinical presentation ranging from vague abdominal pain to complete intestinal obstruction. Six cases had left-sided paraduodenal hernia, while two cases had right-sided paraduodenal hernia.
Seven cases based on their presentation underwent surgery either electively or on emergent basis. Three cases underwent laparoscopic repair. One case had a recurrence and was re-operated four months later. There was no mortality among any of the cases.
A pre-operative diagnosis of paraduodenal hernia is essential. Laparoscopic surgery is safe in select cases and is found to be beneficial.
十二指肠旁疝（PDH）是罕见的先天性腹内疝，症状不具特异性。左侧十二指肠旁疝比右侧十二指肠旁疝常见三倍，二者临床表现相似，但胚胎起源不同。
我们报告了一系列8例十二指肠旁疝病例，其临床表现各异，从模糊的腹痛到完全性肠梗阻。6例为左侧十二指肠旁疝，2例为右侧十二指肠旁疝。
7例根据其临床表现接受了择期或急诊手术。3例接受了腹腔镜修补术。1例复发，4个月后再次手术。所有病例均无死亡。
术前诊断十二指肠旁疝至关重要。腹腔镜手术在部分病例中是安全的，且已证明有益。
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