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Title: Case of a strangulated right paraduodenal fossa hernia in a malrotated gut
Authors: Ong, Michelle
Roberts, Matthew
Perera, Marlon
Pretorius, Casper
Issue Date: 24-Jul-2017
Publisher: BMJ Pub. Group
Source: Ong, M., Roberts, M., Perera, M., & Pretorius, C. (2017). Case of a strangulated right paraduodenal fossa hernia in a malrotated gut. BMJ Case Reports, 2017.
Journal: BMJ case reports
Abstract: We report an unusual case of a strangulated internal hernia resulting from a right paraduodenal fossa hernia (PDH) in the context of bowel malrotation. There are few documented cases of PDHs associated with a concomitant gut malrotation. Emergency laparotomy was performed based on clinical and radiological. Intraoperatively, the proximal jejunum was seen to enter a hernia sac formed by an aberrant duodenojejunal flexure located to the right of the aorta. This was presumed to be a strangulated internal hernia of the paraduodenal recess in a malrotated gut. The hernia neck was widened and the sac obliterated to allow reduction of the contents. On reduction and warming, the insulted small bowel appeared viable and returned to the abdominal cavity without resection.
DOI: 10.1136/bcr-2017-220645
Keywords: Digestive System Abnormalities/*complications;Hernia, Abdominal/*complications;Intestinal Obstruction/*etiology;Intestinal Volvulus/*complications;Intestine, Small/*pathology;Duodenum/pathology;Hernia/complications;Herniorrhaphy;Jejunum/pathology;Laparotomy;Radiography;Tomography, X-Ray Computed
Type: Article
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