An uncommon cause of acute bowel obstruction: the left para-duodenal hernia.
Internal hernias of the abdomen are uncommon. They represent less than 1% of bowel obstruction cases. The left Paraduodenal hernia (PH) is the most frequent type of internal hernias. We report a case of 77 year- old woman consulting for bowel obstruction evolving since two days. The abdominal computed tomography revealed a retroperitoneal small bowel contained in a peritoneal sac. The surgical exploration confirmed the diagnosis of a left internal PH by showing incarcerated jejunal loops in a PH through a narrow opening to the left of the angle of Treitz. A surgical reduction of the hernia and closure of the hernia neck were performed. The follow-ups were uncomplicated. Through this observation and a literature review, we try to recall the clinical and radiological characteristics of this disease and to clarify the therapeutic modalities.
['Trigui|Ayman|A|', 'Guirat|Ahmed|A|', 'Rejab|Haitham|H|', 'Kardoun|Nizar|N|', 'Frikha|Foued|F|', 'Amar|Mohamed B|MB|', 'Beyrouti|Mohamed I|MI|']
internal hernia paraduodenal hernia Computed tomography small bowel obstruction