Abstract
A 38-year-old female had complained of left upper-quadrant pain after dinner on the previous day. She was referred to our hospital with a suspected internal hernia. An abdominal CT scan showed accumulation of the small bowel in the left upper abdomen and lower dislocation of the transvers colon. The preoperative diagnosis was a left paraduodenal hernia with the absence of strangulation, so elective surgery was performed the following day. Laparoscopy revealed that the hernia orifice existed in the left side of Treitz ligament. Approximately 2.5m of the herniated small bowel was easily reduced into the abdominal cavity. The hernia orifice was closed intracorporeally with interrupted sutures. The patient had an uneventful postoperative course and was discharged on the 8th postoperative day. A CT scan is considered to be an excellent diagnostic method for paraduodenal hernias and laparoscopic surgery is an efficient surgical treatment for this pathology. We report herein on a case of left paraduodenal hernia that was diagnosed preoperatively and treated laparoscopically, with reference to the relevant literature.
