Pan African Medical Journal

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Right paraduodenal hernia in an adult patient: emergency management

Adriá Rosat, Ana María Feria, María Aranzazu Varona, Victor Vázquez, Manuel Barrera


We report a case of right paraduodenal hernia in an adult patient and its emergency diagnosis and management in an acute clinical presentation. A twenty-eight-year-old male patient was admitted in our outside hospital's emergency room after 12 hours of evolution of diffuse abdominal pain, nausea and vomiting. He referred a similar episode several months ago that ceased spontaneously. An abdominal CT scan with intravenous contrast demonstrated an encapsulated cluster of small bowel loops occupying mainly the right upper quadrant, lateral to the duodenum, suspicious for an internal hernia in the context of an intestinal malrotation. The patient underwent a laparotomy, which revealed a large sac containing dilated small bowel loops as shown by radiologic studies. The patient did well in postoperatory and was discharged home on the fourth day after the surgery. In a year follow up the patient remained asymptomatic.

Pan African Medical Journal 2016; 23
AJOL African Journals Online