%0 Journal Article
%T An Uncommon Cause of Acute Bowel Obstruction: The Left Para.Duodenal Hernia
%A A Trigui
%A A Guirat
%A H Rejab
%A N Kardoun
%A F Frikha
%A MB Amar
%J Nigerian Journal of Surgery
%D 2012
%I Medknow Publications
%X Internal hernias of the abdomen are uncommon. They represent less than 1% of bowel obstruction cases. The left Paraduodenal hernia (PH) is the most frequent type of internal hernias. We report a case of 77 year- old woman consulting for bowel obstruction evolving since two days. The abdominal computed tomography revealed a retroperitoneal small bowel contained in a peritoneal sac. The surgical exploration confirmed the diagnosis of a left internal PH by showing incarcerated jejunal loops in a PH through a narrow opening to the left of the angle of Treitz. A surgical reduction of the hernia and closure of the hernia neck were performed. The follow-ups were uncomplicated. Through this observation and a literature review, we try to recall the clinical and radiological characteristics of this disease and to clarify the therapeutic modalities.
%U http://www.ajol.info/index.php/njs/article/view/86146