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Acta Chir Belg. 2006 Mar-Apr;106(2):211-4.

Paraduodenal hernia evoking intermittent abdominal pain.

Author information

1
Department of General Surgery, Sint Augustinus, Wilrijk, Belgium. connymeeussen@pandora.be

Abstract

PURPOSE:

Description of a very rare case of internal abdominal hernia, namely herniation of the proximal jejunum in the Landzert fossa, through a hole in the mesocolon transversum.

MATERIAL AND METHODS:

Based on preoperative history, clinical state and radiological findings, the diagnosis of internal hernia was strongly suspected.

RESULTS:

Suspected diagnosis was confirmed during laparotomy. After reduction of the jejunum and closure of the hernia orifice, the patient recovered promptly.

CONCLUSION:

The diagnosis of internal herniation should always be considered in every patient who presents with an acute abdomen, signs of (sub)obstruction and non-typical history. The most important diagnostic tool is computer tomography, that is accurate in 77%.

PMID:
16761480
[Indexed for MEDLINE]

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