A Case Report of an Adult Malrotation (Paraduodenal Hernia) Associated with Intestinal Necrosis

Tetsunari Wada, Yasutomo Azumi, Naoto Kawakita, Yoshi Nagahata, Yoichi Saitoh

First Department of Surgery, Kobe University School of Medicine

A case of adult malrotation (right paraduodenal hernia) associated with intestinal necrosis is reported. A 32-year-old woman with progressive epigastralgia and vomiting was diagnosed as having diffuse peritonitis. An emergency operation was performed. The operative finding was right paraduodenal hernia associated with massive intestinal necrosis. In Japan, only 16 patients who underwent surgery due to malrotation have been reported, but paraduodenal hernia has not been reported.

Key words
adult malrotation, paraduodenal hernia

Reprint requests
Tetsunari Wada First Department of Surgery, Kobe University School of Medicine
7-5-1 Kusunoki-cho, Chuo-ku, Kobe, 650 JAPAN

Accepted
January 12, 1994

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