ABSTRACT
A case of small bowel obstruction secondary to a left paraduodenal hernia is illustrated together with its radiological features and intra-operative appearance. Paraduodenal hernias are rare congenital causes of small bowel obstruction, and various approaches to surgical treatment are available including conventional open and minimally invasive laparoscopic techniques. This case presents one possible option for surgical management and briefly reviews the literature for the various surgical techniques and strategies available to the surgeon when faced with a left paraduodenal hernia.
Subject(s)
Duodenal Diseases/complications , Hernia/complications , Hernia/diagnostic imaging , Intestinal Obstruction/surgery , Intestine, Small/surgery , Aged , Duodenal Diseases/congenital , Duodenal Diseases/surgery , Hernia/congenital , Herniorrhaphy/methods , Humans , Intestinal Obstruction/diagnostic imaging , Intestinal Obstruction/etiology , Laparotomy/methods , Male , Rare Diseases , Tomography, X-Ray Computed/methods , Treatment OutcomeABSTRACT
Tube thoracostomy insertion is a common procedure in the management of air and fluid collections in the pleural space. Pulmonary artery injury is a rare but serious complication following intercostal catheterisation. This complication is usually managed surgically. We report a case of successful non-operative management of a pulmonary artery injury after tube thoracostomy.