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Lessons learnt in the management of paraduodenal hernias: a case series

  • 2023 SAGES Poster
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Abstract

Introduction

Paraduodenal hernias (PDH) are rare congenital internal hernias with non- specific symptoms. Left-sided paraduodenal hernia is three times more common than right-sided paraduodenal hernia with similar clinical presentation but different embryological origins.

Materials and Methods

We report a series of eight cases of paraduodenal hernia who presented with varied clinical presentation ranging from vague abdominal pain to complete intestinal obstruction. Six cases had left-sided paraduodenal hernia, while two cases had right-sided paraduodenal hernia.

Results

Seven cases based on their presentation underwent surgery either electively or on emergent basis. Three cases underwent laparoscopic repair. One case had a recurrence and was re-operated four months later. There was no mortality among any of the cases.

Conclusion

A pre-operative diagnosis of paraduodenal hernia is essential. Laparoscopic surgery is safe in select cases and is found to be beneficial.

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Bibliography

  1. Kuzinkovas V, Haghighi K, Singhal R, Andrews NJ (2008) Paraduodenal hernia: a rare cause of abdominal pain. Can J Surg 51(6):E127–E128

    PubMed  PubMed Central  Google Scholar 

  2. Kadhem S, Ali MH, Al-Dera FH, Alzayer NA, Alyagoub HM (2020) Left paraduodenal hernia: case report of rare cause of recurrent abdominal pain. Cureus 12(3):e7156. https://doi.org/10.7759/cureus.7156

    Article  PubMed  PubMed Central  Google Scholar 

  3. Shadhu K, Ramlagun D, Ping X (2018) Para-duodenal hernia: a report of five cases and review of literature. BMC Surg 18(1):32. https://doi.org/10.1186/s12893-018-0365-8

    Article  PubMed  PubMed Central  Google Scholar 

  4. Peru N, Jouvin I, Pocard M (2020) Bowel obstruction due to a right paraduodenal hernia with midgut malrotation. J Visc Surg 157(3):215–216. https://doi.org/10.1016/j.jviscsurg.2019.08.008

    Article  CAS  PubMed  Google Scholar 

  5. Brunicardi F. Charles, Andersen Dana K, Billiar Timothy R, Dunn David L, Kao Lillian S, Hunter John G, Matthews Jeffrey B, Pollock Raphael E (2019) Schwartz’s Principles of Surgery, 11th edn. McGraw-Hill Education, Chennai

    Google Scholar 

  6. Sabiston DC Jr, Townsend CM Jr, Beauchamp RD (eds) (2017) Sabiston textbook of surgery: the biological basis of modern surgical practice, 20th edn. Elsevier

  7. Liao YH, Lin CH, Lin WC (2011) Right paraduodenal hernia: characteristic MDCT findings. Abdom Imaging 36(2):130–133. https://doi.org/10.1007/s00261-010-9635-3

    Article  PubMed  Google Scholar 

  8. John M, Michael H, Matthew S et al (2020) Identification and Repair of left-sided paraduodenal hernia using both laparoscopic and robotic techniques. Case Rep Surg 2020:7569530. https://doi.org/10.1155/2020/7569530

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

The authors thank the members of the Editorial Board for their careful review.

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Authors and Affiliations

  1. Department of General and GI Surgery, PSG Institute of Medical Sciences and Research Centre, Coimbatore, India

    Oviya Anjali Giri & Sunay N. Bhat

  2. Department of Surgical Gastroenterology, PSG Institute of Medical Sciences and Research Centre, Coimbatore, India

    Balu Kuppusamy

Authors
  1. Oviya Anjali Giri
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  2. Sunay N. Bhat
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  3. Balu Kuppusamy
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Correspondence to Sunay N. Bhat.

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Dr. Oviya Anjali Giri, Dr. Sunay N. Bhat and Dr. Balu Kuppusamy have no conflicts of interest or financial ties to disclose.

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Giri, O.A., Bhat, S.N. & Kuppusamy, B. Lessons learnt in the management of paraduodenal hernias: a case series. Surg Endosc 38, 443–448 (2024). https://doi.org/10.1007/s00464-023-10513-z

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  • DOI: https://doi.org/10.1007/s00464-023-10513-z

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