2018 Volume 38 Issue 5 Pages 883-887
The first patient was a 64-year-old female who presented with abdominal pain. Abdominal CT revealed the diagnosis of left paraduodenal hernia. Hernia repair with laparoscopic surgery was performed on the day of admission. The second patient was a 67-year-old female who also presented with abdominal pain. CT revealed extension of the stomach, duodenum and proximal side of jejunum, based on which left paraduodenal hernia was suspected, and a nasal intestinal tube was inserted. The abdominal pain improved, however, contrast study under endoscopy via the endoscope? still showed incarceration of the small bowel. Therefore, laparoscopic surgery was performed three days after the contrast study. In many cases, left paraduodenal hernias are diagnosed before surgery, however, pure laparoscopic surgery for left paraduodenal hernia is not commonly performed in Japan. We believe that laparoscopic surgery is a less-invasive treatment for left paraduodenal hernias and report two cases of left paraduodenal hernia that were treated by pure laparoscopic surgery.
