Volvulus of the Small Intestine Associated to Left Paraduodenal Hernia: A Case Report

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Published Feb 7, 2011
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Vol. 89 No. 2 (2011): Issue Feb 2011

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Soufiene Ghorbel
Taieb Chouikh
Awatef Chariag
Faouzi Nouira
Rachid Khemakhem
Said Jlidi
Beji Chaouachi

Abstract

Aim: To report a rare case of a left paraduodenal hernia presenting as volvulus of the small intestine associated to an intestinal
malrotation.
Case report: A 2 months-old girl presented with history of bilious vomiting, sonography showed signs of volvulus and emergency laparotomy was performed and confirmed left paraduodenal hernia containing a part of the ileon, coecum with right colon and volvulus of the small intestine out of the hernia sac.
Conclusion: Paraduodenal hernia is an uncommon cause of small bowel volvulus. It can be suspected by clinical and radiological findings, surgery is always required to prevent small bowel necrosis and to repair the defect.

Keywords:

Volvulus, internal hernia, paraduodenal

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