Publication:

Obstructed giant right paraduodenal hernia presenting as an abdominal mass

Internal hernias are rare cases of small intestinal obstruction of which Right Paraduodenal hernias through the Fossa of Waldeyer occur only in less than a quarter of all cases. A high index of suspicion and a good understanding about the pathological anatomy is pertinent for the detection and successful management of this condition which has non-specific symptomatology. The gold standard of diagnosis is computed tomography scan, which shows characteristic findings. Surgical correction is often necessary as mortality rates hover above 50% in unintervened cases. Here we present very rare case of an obstructed right paraduodenal hernia which presented as an abdominal mass.