Left paraduodenal hernia combined with acute cholecystitis
Annals of Surgical Treatment and Research
;
: 217-219, 2014.
Article
in English
| WPRIM
| ID: wpr-133145
ABSTRACT
Paraduodenal hernia is a rare congenital malformation. Management consists of reduction of the herniated intestine and repair of the defect. A 74-year-old woman presented to the Emergency Department with persistent right upper quadrant pain that began 3 hours ago. Physical examination revealed tenderness at right upper quadrant of abdomen. Computed tomography revealed multiple gallstones with gallbladder wall thickening, marked dilatation of stomach and duodenum and a sac-like mass of small bowel loops to left of ligament of Treitz suggesting acute cholecystitis and left paraduodenal hernia. Laparoscopic exploration of abdomen was performed and cholecystectomy, bowel reduction, and closure of defect with intracorporeal interrupted suturing were performed. For left paraduodenal hernia without bowel necrosis, laparoscopic reduction of incarcerated bowel and closure of hernial orifice are technically feasible and may be the surgical method of choice because of its minimal invasiveness and aesthetic advantage.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Physical Examination
/
Stomach
/
Cholecystectomy
/
Gallstones
/
Cholecystitis, Acute
/
Dilatation
/
Duodenum
/
Emergency Service, Hospital
/
Abdomen
/
Gallbladder
Limits:
Aged
/
Female
/
Humans
Language:
English
Journal:
Annals of Surgical Treatment and Research
Year:
2014
Type:
Article
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