Abstract
A 75-year-old woman was admitted to our hospital because of vomiting occurred 2 to 3 hours after a meal. Abdominal plain X-ray showed no abnormalities. Recovered conservatively, she felt nausea and vomited after she ate again. Small bowel follow-through showed a clustered and stenosed small intestine around the ligament of Treitz and the dilated duodenum. No mass lesion that had caused the stenosis was detected in an abdominal CT scan. Operation was performed with a preoperative diagnosis of right paraduodenal hernia. About 12cm segment of the jejunum which was just anal of the duodenojejunal flexure was incarcerated into the intermesocolic fossa of Broesike. We diagnosed that because the orifice was cranial of the ascending part of duodenum and away from the inferior mesenteric vein. After repositioning of the jejunum, we closed the orifice of the herniation. Postoperative small bowel follow-through revealed smooth passage without any stenosis. We reported a rare case of right paraduodenal hernia into the fossa of Broesike.
