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Small Bowel Obstruction Secondary to Partial Malrotation of the Gut: A Case Report.
Cureus
January 2025
General Surgery, Womack Army Medical Center, Fort Liberty, USA.
This case report presents a unique clinical presentation of small bowel obstruction secondary to congenital partial malrotation of the gut in adults. Partial malrotation may have variable clinical presentations and this case highlights a constellation of patient history, radiographic signs, and operative findings leading to appropriate diagnosis and successful surgical management. A 56-year-old female patient presented with severe abdominal pain, nausea, and anorexia.
View Article and Find Full Text PDFLeft Para-duodenal hernia with distal bowel ischemia: An unusual presentation of the internal hernia: A case report and literature review.
Radiol Case Rep
February 2025
Department of Radiology, Chitwan Medical College, Chitwan, Nepal.
Internal hernias, including Left para duodenal Hernias (LPDH), are rare and challenging to diagnose due to their nonspecific symptoms and complex anatomical presentation. This report presents a unique case of a 29-year-old female with preoperatively diagnosed uncomplicated LPDH, complicated by distal bowel ischemia-a manifestation not extensively documented in existing literature. Initial imaging revealed dilated jejunal loops indicative of LPDH, with subsequent contrast-enhanced computed tomography (CECT) showing ischemic changes in bowel segments distal to the hernia.
View Article and Find Full Text PDFRight para-duodenal hernia related small bowel strangulation in 71 years old male patient managed surgically for small bowel resection and anastomosis:First case report in Somalia.
Int J Surg Case Rep
December 2024
Department of General Surgery, Mogadishu Somali Turkey Recep Tayyip Erdoğan Training and Research Hospital, Mogadishu, Somalia. Electronic address:
Article Synopsis
- - Para-duodenal hernias account for 53% of internal hernias, mostly occurring on the left side, with rare symptoms in adults and a higher prevalence in males; right para-duodenal hernias are particularly uncommon and often discovered during emergency surgeries.
- - A 71-year-old male experienced severe abdominal pain, nausea, and vomiting, leading to a CT scan that identified a right para-duodenal hernia, resulting in an emergency surgery where the hernia was confirmed.
- - Internal hernias, while rare, lead to significant complications like bowel obstruction and ischemia; due to the patient's extensive symptoms at presentation, an exploratory laparotomy was chosen as the surgical approach, ultimately resulting in a full recovery.
Strangulated left para-duodenal hernia: A case report and review of literature.
Radiol Case Rep
January 2025
Department of Surgery, BPKIHS, Dharan, Nepal.
Article Synopsis
- Internal hernias are a rare type of hernia, occurring in only 0.2%-0.9% of cases, with left para-duodenal hernias being particularly uncommon and can lead to severe symptoms.
- A case study describes a 24-year-old male who experienced intense abdominal pain due to a left para-duodenal hernia, confirmed through a specialized CT scan.
- Treatment typically involves emergency surgery, with the specific method (open or laparoscopic) based on the surgeon's skills and hospital facilities; complications like strangulation significantly increase the risk of mortality.
Successful laparoscopic management of strangulated left paraduodenal hernia: A case report and review of minimally invasive approaches.
Int J Surg Case Rep
December 2024
Department of Surgery, HRH Princess MahaChakri Sirindhorn Medical Center, Faculty of Medicine, Srinakharinwirot University, 62 Ongkharak, Nakhon Nayok 26120, Thailand. Electronic address:
Introduction: Paraduodenal hernias are rare congenital anomalies that can lead to acute bowel obstruction and strangulation. Laparoscopic management of these complex cases in emergency settings remains challenging, particularly when bowel ischemia is present.
Case Presentation: We report a case of a 56-year-old woman presenting with acute small bowel obstruction due to a strangulated left paraduodenal hernia.
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