Publication:

Para-duodenal hernia: a rare case report

A para-duodenal hernia (PDH) is a rare type of internal hernia, which results from anomalous rotation and reduction of the midgut loop in the embryo. Diagnosing para-duodenal hernias can be difficult due to the wide range of symptoms that can occur. Preoperative computed tomography of the abdomen facilitates diagnosis and timely surgical intervention, which can be performed openly or laparoscopically. We here report the case of a 22-year-young male patient with a left para-duodenal hernia. He arrived in the emergency with generalized intermittent crampy abdominal pain, associated with nausea and obstipation. An abdominal computed tomography (CT) revealed that he had a left PDH, which was effectively treated with open surgical repair. Clinical presentation of para-duodenal hernia ranges from asymptomatic to manifest. The greatest difficulty regarding the management of para-duodenal hernias lies in their diagnosis. Many studies have shown that the best option for diagnosis is computed tomography (CT). Open and laparoscopic techniques are used in the treatment of para-duodenal hernias with similar results. We report our experience in the management of left para-duodenal hernia. The case of a 22-year-old male patient with LPDH with non-specific symptomatology was presented. CT scan is the best diagnostic option for this condition. The open surgical approach was used with great success.