A CASE OF RIGHT PARADUODENAL HERNIA

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  • 右傍十二指腸ヘルニアの1例

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A 36-year-old man was admitted to our hospital with a chief complaint of lower abdominal pain. Emergency laparotomy was performed under a diagnosis of strangulated ileus. The duodenum was found to run behind the mesenterium of the ascending colon and the small bowel emerged below the terminal ileum into the peritoneal cavity. The small bowel was necrotic for a length of 3 m due to volvulus of the intestine, which existed in the peritoneal cavity. The operative diagnosis was right paraduodenal hernia, the sac of which was the mesenterium of the ascending colon. Resection of the necrotic intestine was done and the oral section of bowel was pulled through the incision made in the mesenterium, followed by end-to-end anastomosis. The postoperative course was uneventful. Right paraduodenal hernia, a type of internal hernia, is a rare disease. An understanding of embryology is important when performing surgery in such cases.

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