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.
References
Ghahremani GG (1984) Internal abdominal hernias. Surg Clin North Am 64:393–406
Ghahremani GG (2000) Abdominal and pelvic hernias. In: Gore RM, Levine MS (eds) Textbook of gastrointestinal radiology, 2nd edn. Philadelphia: Saunders, pp 1993–2009
Welch CE (1958) Hernia: intestinal obstruction. Chicago: Year Book Medical, pp 239–268
Takeyama N, Gokan T, Ohgiya Y, et al. (2005) CT of internal hernias. RadioGraphics 25:997–1015
Meyers MA (2000) Internal abdominal hernias. In: Meyers MA (ed) Dynamic radiology of the abdomen, 5th edn. New York: Springer-Verlag, pp 711–748
Lin CH, Ho YJ, Lin WC (2008) Preoperative diagnosis of right paraduodenal hernia by multidetector computed tomography. J Formos Med Assoc 107:500–504
Meyers MA (1970) Paraduodenal hernias. Radiologic and arteriographic diagnosis. Radiology 95:29–37
Okino Y, Kiyosue H, Mori H, et al. (2001) Root of the small-bowel mesentery: correlative anatomy and CT features of pathologic conditions. RadioGraphics 21:1475–1490
Furukawa A, Yamasaki M, Furuichi K, et al. (2001) Helical CT in the diagnosis of small bowel obstruction. RadioGraphics 21:341–355
Ko YT, Lim JH, Lee DH, Lee HW, Lim JW (1993) Small bowel obstruction: sonographic evaluation. Radiology 188:649–653
Maglinte DD, Gage SN, Harmon BH, et al. (1993) Obstruction of small intestine: accuracy and role of CT in diagnosis. Radiology 188:61–64
Frager D, Medwid SW, Baer JW, Mollinelli B, Friedman M (1994) CT of small bowel obstruction: value in establishing the diagnosis and determining degree and cause. AJR Am J Roentgenol 162:37–41
Suri S, Gupta S, Sudhakar PJ, et al. (1999) Comparative evaluation of plain films, ultrasound and CT in the diagnosis of intestinal obstruction. Acta Radiol 40:422–428
Martin LC, Merkle EM, Thompson WM (2006) Review of internal hernias: radiographic and clinical findings. AJR Am J Roentgenol 186:703–717
Fan HP, Yang AD, Chang YJ, Juan CW, Wu HP (2008) Clinical spectrum of internal hernia: a surgical emergency. Surg Today 38:899–904
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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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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DOI: https://doi.org/10.1007/s00261-010-9635-3