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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.
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Paraduodenal hernias, especially right sided, are extremely rare entities that are difficult to diagnose due to their uncommon presentation. Some may experience small bowel obstruction. Such patients will have a guarded prognosis if complicated by sepsis due to strangulation or perforation.

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The intra-abdominal zebra, paraduodenal hernias resulting in small bowel obstructions: a case series.

J Surg Case Rep

August 2024

General Surgery Department, Dwight D. Eisenhower Army Medical Center, 300 East Hospital Road, Fort Eisenhower, GA 30905, United States.

Paraduodenal hernias are a rare but important clinical entity, as their presentation can be life-threatening if not properly diagnosed and managed appropriately. Additionally, this entity is defined by a unique and complex congenital anatomical abnormality which dictates a specific treatment algorithm. Here we present the cases of three patients from our clinical experience who all presented with either acute or chronic small bowel obstructions secondary to paraduodenal hernias.

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Introduction: 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.

Materials And Methods: 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.

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Laparoscopic repair of the left paraduodenal hernia: A rare case of an internal hernia.

Ulus Travma Acil Cerrahi Derg

January 2022

Department of General Surgery, University of Health Sciences, Kanuni Sultan Süleyman Training and Research Hospital, İstanbul-Turkey.

Paraduodenal hernia (PDH) is a rare congenital anomaly, the most common cause of internal hernia. The left-sided PDHs (LPDHs) are more common than the right-sided and are common in male patients at the 4th and 6th years of life. LPDH is been often clinically asymptomatic and often detected by chance in surgical patients.

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