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Inicio Cirugía Española (English Edition) Strangulated right paraduodenal hernia in the context of bowel malrotation: Rare...
Información de la revista
Vol. 101. Núm. 1.
Páginas 56 (enero 2022)
Vol. 101. Núm. 1.
Páginas 56 (enero 2022)
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Strangulated right paraduodenal hernia in the context of bowel malrotation: Rare small bowel obstruction
Hernia paraduodenal derecha incarcerada en paciente con malrotación intestinal: un caso infrecuente de obstrucción intestinal
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Ana Puerta Vicentea,
Autor para correspondencia
anapuertavicente@gmail.com

Corresponding author.
, José Alberto Vilar Tabaneraa, Antonio Pedraza Muñoza, Marta Guiradob
a Servicio de Cirugía General y Digestiva, Hospital Universitario La Zarzuela, Madrid, Spain
b Servicio de Radiodiagnóstico, Hospital Universitario La Zarzuela, Madrid, Spain
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Intestinal obstruction secondary to right paraduodenal hernia in the context of intestinal malrotation is rare.

A 53-year-old male patient presented with abdominal pain and distension. Abdominal computed tomography showed: intestinal obstruction due to a complicated right paraduodenal hernia; ‘whirlpool sign’ and displacement of the mesentery towards the right flank (**); blockage of dilated small intestine loops displaced to the right of the duodenum (arrow) (Fig. 1).

Fig. 1
(0.12MB).

Exploratory laparotomy confirmed: incarcerated right paraduodenal hernia in a patient with intestinal malrotation; angle of Treitz (T) in the right abdomen, caudal to the ileocecal valve (V); cecum (C) and terminal ileum in the right hypochondrium; redundant mesoappendix in continuation with the mesentery of the first jejunal portion, creating a cul-de-sac (Fig. 2).

Fig. 2
(0.12MB).

Treatment is surgical and involves reducing the hernial content and avoiding new episodes, either by closing or widening the defect.

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