Preoperatively Diagnosed Paraduodenal Hernia: Report of Three Cases

Satoshi Inagawa, Kiyoshi Fukunaga, Shigeru Atake, Yoshimasa Akashi, Mitsuhiro Matsuda, Katsuhisa Tsuji and Akio Ishikawa

Department of Surgery, Tsukuba Medical Center Hospital

We report 3 cases of paraduodenal hernia diagnosed preoperatively. Case 1: A 49-year-old man admitted for abdominal pain and vomiting was found in upper GI series and abdominal CT to have clustered small-intestinal loops between the stomach and left kidney, necessitating emergency surgery under a diagnosis of left paraduodenal hernia. Case 2: An 80-year-old woman referred for abdominal pain persisting for 7 days was found to have a tender soft mass palpated in her right abdomen and diagnosed with paraduodenal hernia based on abdominal CT. Because her condition rapidly deteriorated, we conducted emergency surgery. Case 3: A 53-year-old woman admitted for abdominal pain and vomiting persisting for about 3 months required emergency surgery under a diagnosis of paraduodenal hernia based on abdominal CT. The postoperative courses of all 3 patients were uneventful, and symptoms were alleviated. In patients without a history of abdominal surgery, paraduodenal hernia should be considered as a possible cause of repeated intestinal obstruction.

Key words
internal hernia, paraduodenal hernia, CT scan

Reprint requests
Satoshi Inagawa Department of Surgery, Tsukuba Medical Center Hospital
1-3-1 Amakubo, Tsukuba City, 305-8558 JAPAN

Accepted
March 24, 2004

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