Paraduodenal Hernia

An internal hernia is the protrusion of a viscus through a peritoneal or mesenteric defect, resulting in its encapsulation in another compartment within the confines of the peritoneal cavity. Although rare but paraduodenal hernias are the commonest internal hernias . Right and left paraduodenal hernias are separate entities, differing in anatomic position and also in embryologic origin. They are characterized by abnormal fixation of the duodenum and jejunum.
Anatomically there are a number of paraduodenal fossa. The most important ones are the left paraduodenal fossa or fossa of Landzert and the right paraduodenal fossa or the fossa of Kolb.
They may remains asymptomatic lifelong but it can sometimes leads to intestinal obstruction and gangrene .Clinically, most patients present with ill-defined episodes of abdominal pain, often progressing to partial or complete intestinal obstruction. Paraduodenal hernia presents dramatically, causes a non-specific clinical picture, and often reduces spontaneously, leading to diagnostic difficulties. Diagnosis is usually made on CECT abdomen, classically described as a clustering of small-bowel loops in the upper right or left quadrants.
With a significant lifetime risk of intestinal obstruction and further complications such as perforation and gangrene of bowel elective repair is usually recommended.  During emergency surgery, bowel preservation should be the goal.

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Peterson Hernia

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Diaphragmatic Hernia

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Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum.

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