Obstructed Left Paraduodenal Hernia with Spontaneous Reduction Demonstrated on Computed Tomography: A Case Report
Paraduodenal hernias (PDH) are the most frequently occurring internal hernia, caused due to non fusion between inferior mesentery and parietal peritoneum. The herniation of the bowel through the fossa of Landzert results in the left paraduodenal hernia which constitutes 75% of PDH. A case of a 34-ye...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2023-01-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/17195/58914_CE(Vi)_F[SH]_PF1(PS_SHU)_PFA(PS_KM)_PN(KM).pdf |
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| author | Varsha P Rangankar Krishnarjun Muralinath Parag V Patil Sameeh Uz Zaman |
| author_facet | Varsha P Rangankar Krishnarjun Muralinath Parag V Patil Sameeh Uz Zaman |
| author_sort | Varsha P Rangankar |
| collection | DOAJ |
| description | Paraduodenal hernias (PDH) are the most frequently occurring internal hernia, caused due to non fusion between inferior mesentery and parietal peritoneum. The herniation of the bowel through the fossa of Landzert results in the left paraduodenal hernia which constitutes 75% of PDH. A case of a 34-year-old male with obstructed left PDH and a spontaneous reduction is demonstrated on Computed Tomography (CT). The patient had a cluster of jejunal loops forming a sac-like mass in the left anterior pararenal space, with surrounding mass effect with twisting and stretching of the mesenteric vessels at the hernia orifice, which showed a spontaneous reduction on subsequent contrast-enhanced and delayed CT studies. Despite the imaging evidence of spontaneous reduction of left PDH in the present case, surgery remains the mainstay in terms of management for left paraduodenal hernia. |
| first_indexed | 2024-04-10T18:13:37Z |
| format | Article |
| id | doaj.art-5aafae71afb84b70acb4d7ab993bdae2 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-10T18:13:37Z |
| publishDate | 2023-01-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-5aafae71afb84b70acb4d7ab993bdae22023-02-02T09:53:01ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-01-01171TD01TD0310.7860/JCDR/2023/58914.17195Obstructed Left Paraduodenal Hernia with Spontaneous Reduction Demonstrated on Computed Tomography: A Case ReportVarsha P Rangankar0Krishnarjun Muralinath1Parag V Patil2Sameeh Uz Zaman3Professor, Department of Radioadiagnosis, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India.Postgraduate Resident, Department of Radioadiagnosis, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India.Professor, Department of Radioadiagnosis, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India.Postgraduate Resident, Department of Radioadiagnosis, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India.Paraduodenal hernias (PDH) are the most frequently occurring internal hernia, caused due to non fusion between inferior mesentery and parietal peritoneum. The herniation of the bowel through the fossa of Landzert results in the left paraduodenal hernia which constitutes 75% of PDH. A case of a 34-year-old male with obstructed left PDH and a spontaneous reduction is demonstrated on Computed Tomography (CT). The patient had a cluster of jejunal loops forming a sac-like mass in the left anterior pararenal space, with surrounding mass effect with twisting and stretching of the mesenteric vessels at the hernia orifice, which showed a spontaneous reduction on subsequent contrast-enhanced and delayed CT studies. Despite the imaging evidence of spontaneous reduction of left PDH in the present case, surgery remains the mainstay in terms of management for left paraduodenal hernia.https://www.jcdr.net/articles/PDF/17195/58914_CE(Vi)_F[SH]_PF1(PS_SHU)_PFA(PS_KM)_PN(KM).pdfconverginginferior mesenteric veinobstructionsactransient |
| spellingShingle | Varsha P Rangankar Krishnarjun Muralinath Parag V Patil Sameeh Uz Zaman Obstructed Left Paraduodenal Hernia with Spontaneous Reduction Demonstrated on Computed Tomography: A Case Report Journal of Clinical and Diagnostic Research converging inferior mesenteric vein obstruction sac transient |
| title | Obstructed Left Paraduodenal Hernia with Spontaneous Reduction Demonstrated on Computed Tomography: A Case Report |
| title_full | Obstructed Left Paraduodenal Hernia with Spontaneous Reduction Demonstrated on Computed Tomography: A Case Report |
| title_fullStr | Obstructed Left Paraduodenal Hernia with Spontaneous Reduction Demonstrated on Computed Tomography: A Case Report |
| title_full_unstemmed | Obstructed Left Paraduodenal Hernia with Spontaneous Reduction Demonstrated on Computed Tomography: A Case Report |
| title_short | Obstructed Left Paraduodenal Hernia with Spontaneous Reduction Demonstrated on Computed Tomography: A Case Report |
| title_sort | obstructed left paraduodenal hernia with spontaneous reduction demonstrated on computed tomography a case report |
| topic | converging inferior mesenteric vein obstruction sac transient |
| url | https://www.jcdr.net/articles/PDF/17195/58914_CE(Vi)_F[SH]_PF1(PS_SHU)_PFA(PS_KM)_PN(KM).pdf |
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