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Right paraduodenal hernia: characteristic MDCT findings

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Abstract

Right paraduodenal hernia is a very rare cause of abdominal pain. It can lead to bowel obstruction, ischemia, and perforation with a high mortality. A timely and correct diagnosis with a rapid diagnostic tool is mandatory. However, clinical diagnosis of right paraduodenal hernia is difficult for its nonspecific symptoms. Traditionally, paraduodenal hernia was diagnosed by small bowel series that was a time-consuming image study. We report a case of right paraduodenal hernia with pre-operative fast diagnosis by multidetector row computed tomography. Fortunately, the ischemic bowel loops were timely alleviated by reduction and resection was prevented.

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Acknowledgments

I acknowledge Wan Jung Hsieh for providing the schematic anatomic drawing in the Fig. 2. This study was partially supported by China Medical University Hospital intramural grant DMR-93-83.

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Correspondence to Wei-Ching Lin.

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

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