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Right Paraduodenal Hernia as a Cause of Acute Abdominal Pain in the Emergency Department: A Case Report and Review of the Literature

Authors :
Viktoria Lamprou
Despoina Krokou
Eleni Karlafti
Stavros Panidis
Leonidas Kougias
Georgios Tzikos
Aristeidis Ioannidis
Smaro Netta
Evanthia Thomaidou
Daniel Paramythiotis
Source :
Diagnostics, Vol 12, Iss 11, p 2742 (2022)
Publication Year :
2022
Publisher :
MDPI AG, 2022.

Abstract

Paraduodenal hernias (PDHs) represent an unusual cause of acute abdominal pain in the Emergency Department (ED) and are associated with high morbidity attributable to a challenging clinical and radiological diagnosis, as signs and symptoms mimic other frequent causes of acute abdominal pain. We report a right paraduodenal hernia in a 37-year-old female patient who presented to the ED complaining of abdominal pain located in the right lower abdomen and hypogastrium, accompanied by nausea. During diagnostic work up, the abdominal computed tomography scan revealed the presence of small bowel malrotation with concomitant right paraduodenal hernia. These findings were confirmed intraoperatively. We performed a brief literature review about the clinical manifestations and treatment options of right paraduodenal hernias, which retrieved only 30 articles related to this condition. Prompt diagnosis, radiological or intraoperative, of paraduodenal hernias is crucial because nearly 50% will progress to small bowel obstruction. Therefore, it is essential for every clinician to account for them in the differential diagnosis of acute abdominal pain in the ED.

Details

Language :
English
ISSN :
20754418
Volume :
12
Issue :
11
Database :
Directory of Open Access Journals
Journal :
Diagnostics
Publication Type :
Academic Journal
Accession number :
edsdoj.1baac803caad4c7eb9ff9a4873b2f5c8
Document Type :
article
Full Text :
https://doi.org/10.3390/diagnostics12112742