AI Article Synopsis
- Internal hernias are rare, accounting for less than 1% of bowel obstructions, with left paraduodenal hernias being the most common type.
- A 77-year-old woman presented with a two-day history of bowel obstruction, and imaging confirmed a retroperitoneal small bowel herniated in a peritoneal sac.
- Surgical intervention successfully resolved the hernia, and the study emphasizes the importance of understanding the clinical and radiological traits of internal hernias and their treatment options.
Article Abstract
Internal hernias of the abdomen are uncommun. They represent less than 1% of bowel obstruction cases. The left paraduodenal hernia is the most frequent type of internal hernias. We report a case of 77 year-old woman consulting for bowel obstruction evolving since two days. The abdominal computed tomography revealed a retroperitoneal small bowel contained in a peritoneal sac. The surgical exploration confirmed the diagnosis of a left internal paraduodenal hernia by showing incarcerated jejunal loops in a paraduodenal hernia through a narrow opening to the left of the angle of Treitz. A surgical reduction of the hernia and closure of the hernia neck were performed. The follow-ups were uncomplicated. Through this observation and a literature review, we try to recall the clinical and radiological characteristics of this disease and to clarify the therapeutic modalities. KEY WORDS: Computer tomography Internal hernia, Paraduodenal hernia, Small bowel obstruction.
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