Right Paraduodenal Hernia as a Cause of Acute Abdominal Pain in the Emergency Department: A Case Report and Review of the Literature

被引:5
|
作者
Lamprou, Viktoria [1 ]
Krokou, Despoina [2 ]
Karlafti, Eleni [3 ]
Panidis, Stavros [2 ]
Kougias, Leonidas [4 ]
Tzikos, Georgios [2 ]
Ioannidis, Aristeidis [2 ]
Netta, Smaro [2 ]
Thomaidou, Evanthia [5 ]
Paramythiotis, Daniel [2 ]
机构
[1] Univ Gen Hosp Thessaloniki AHEPA, Radiol Dept, Thessaloniki 54636, Greece
[2] Univ Gen Hosp Thessaloniki AHEPA, Propaedeut Surg Dept 1, Thessaloniki 54636, Greece
[3] Univ Gen Hosp Thessaloniki AHEPA, Aristotle Univ Thessaloniki, Emergency Dept, Thessaloniki 54636, Greece
[4] Univ Gen Hosp Thessaloniki AHEPA, Dept Intervent Radiol, Thessaloniki 54636, Greece
[5] Univ Gen Hosp Thessaloniki AHEPA, Dept Anesthesia & Intens Care, Thessaloniki 54636, Greece
关键词
acute abdomen; internal hernia; bowel malrotation; bowel obstruction; laparoscopy; laparotomy; SMALL-BOWEL OBSTRUCTION; LAPAROSCOPIC REPAIR; INTESTINAL MALROTATION; INTERNAL HERNIAS; ACUTE ABDOMEN; RARE CAUSE; CT; ADOLESCENTS; DIAGNOSIS; SPECTRUM;
D O I
10.3390/diagnostics12112742
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Paraduodenal hernias (PDHs) represent an unusual cause of acute abdominal pain in the Emergency Department (ED) and are associated with high morbidity attributable to a challenging clinical and radiological diagnosis, as signs and symptoms mimic other frequent causes of acute abdominal pain. We report a right paraduodenal hernia in a 37-year-old female patient who presented to the ED complaining of abdominal pain located in the right lower abdomen and hypogastrium, accompanied by nausea. During diagnostic work up, the abdominal computed tomography scan revealed the presence of small bowel malrotation with concomitant right paraduodenal hernia. These findings were confirmed intraoperatively. We performed a brief literature review about the clinical manifestations and treatment options of right paraduodenal hernias, which retrieved only 30 articles related to this condition. Prompt diagnosis, radiological or intraoperative, of paraduodenal hernias is crucial because nearly 50% will progress to small bowel obstruction. Therefore, it is essential for every clinician to account for them in the differential diagnosis of acute abdominal pain in the ED.
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页数:9
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