Paraduodenal hernias are the most common type of congenital internal hernia. Because of its overall rare incidence, this entity is often overlooked during initial assessment of the patient. Lack of specific diagnostic criteria also makes diagnosis exceedingly difficult, and the resulting diagnostic delays can lead to tragic outcomes for patients. Despite these perceived barriers to timely diagn...

Left mesenteric-parietal (paraduodenal) hernias are a rare cause of abdominal pain or acute intestinal obstruction in children (1–2 % all cases). The most common internal can be detected as incidental findings during laparotomy autopsy. Since the strangulated hernia has no pathognomonic symptoms, which greatly complicates diagnosis and lead to significant deterioration patient’s condition up de...

Paraduodenal hernia is by far the most common form of congenital internal hernia. Chylous ascites is an accumulation of lymphatic fluid in the peritoneal cavity. It develops when the lymphatic system is disrupted due to traumatic injury or obstruction. A 40-year-old, woman showed up to the Emergency Department with severe, colicky abdominal pain. Tenderness and rebound tenderness were observed ...

A 41-year old mentally retarded patient presented acutely with a 3 day history of vomiting and absolute constipation. Intestinal obstruction was diagnosed following an abdominal x ray. At laparotomy, a left paraduodenal hernia was present, without incarceration of small bowel. The herniated loops were reduced and the hernia orifice closed. The anatomy, treatment and importance of considering th...

History.?On the 24th September, 1941, M., a Hindu male, aged 40, was admitted to hospital with a history of severe griping pain in the upper abdomen for two da3rs and inability to pass fseces or flatus for the last 12 hours. No history of previous illness. He had vomited twice during the last 3 hours, and had a feeling of nausea and severe thirst. Physical examination.?The patient was very rest...

Examination revealed a listless, tachycardic and dehydrated infant with distended abdomen, which was tense and tender. The plain abdominal X-ray was consistent with intestinal obstruction (Figure 1). The provisional diagnosis of intussusception was made. After initial resuscitation a contrast enema was done, which showed downward displacement of transverse colon with distended small bowel loops...

Paraduodenal hernia (PDH), a rare congenital anomaly, is a type of internal hernia which occurs due to a defect in the reduction and rotation of the midgut. On anatomical and embryological basis, PDH can be broadly divided into right- and Left PDH. Right PDH is rarer than its counterpart. We present two cases of Right PDH. The patientsy presented with a history of recurrent intestinal obstructi...