H Samanvitha, Puttappa Shivagange Sushmitha, Sajjan Shantkumar S, G Naveen S, T Harsha M
Department of Diagnostic Radiology, Bangalore Medical College and Research Institute, Bengaluru, IND.
Department of Diagnostic Radiology, People Tree Hospital, Bengaluru, IND.
Cureus. 2024 Jan 31;16(1):e53342. doi: 10.7759/cureus.53342. eCollection 2024 Jan.
Internal hernias constitute 5.8% of all small bowel obstructions. The right paraduodenal hernia is a less common subtype of the paraduodenal hernia. Lack of specific signs and symptoms precludes its clinical diagnosis, which emphasizes the need for computed tomography in diagnosis. We present a case of a 24-year-old male patient with a right paraduodenal hernia and midgut malrotation causing closed loop small bowel obstruction and small bowel volvulus within the hernial sac who underwent laparoscopy-assisted reduction of hernia and adhesiolysis with closure of the peritoneal defect. Since the right paraduodenal hernia is associated with gut malrotation, risk of strangulation, closed-loop obstruction, and rarely volvulus, these patients need prompt radiological diagnosis and surgical intervention.
内疝占所有小肠梗阻病例的5.8%。右十二指肠旁疝是十二指肠旁疝中较罕见的一种亚型。缺乏特异性体征和症状使其难以进行临床诊断，这凸显了计算机断层扫描在诊断中的必要性。我们报告一例24岁男性患者，患有右十二指肠旁疝和中肠旋转不良，导致疝囊内闭袢性小肠梗阻和小肠扭转，该患者接受了腹腔镜辅助下疝复位及粘连松解术，并封闭了腹膜缺损。由于右十二指肠旁疝与肠道旋转不良、绞窄风险、闭袢性梗阻以及罕见的扭转相关，这些患者需要及时进行影像学诊断和手术干预。
