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Left paraduodenal hernia leading to ileal obstruction.
Pediatr Radiol. 1996; 26(8):534-6.PR

Abstract

Left paraduodenal hernias are a rare cause of abdominal pain or obstruction. However, because there is high associated mortality (20 %), prompt and accurate diagnosis is essential. Because internal hernias are not detectable on physical examination, imaging is relied upon for pre-operative diagnosis. Although both computed tomography and barium studies demonstrate left paraduodenal hernias as a cluster of bowel located posterior to the stomach and to the left of the distal duodenum with absence of the normal interdigitation between loops, the findings may be subtle. Knowledge of these findings can avoid an unnecessary delay in diagnosis. We present the case of a 15-year-old girl with a left paraduodenal hernia, where initial CT and barium studies demonstrated nonobstructed jejunum within the hernia sac. Two weeks later a repeat study showed obstructed distal ileum, rather than proximal jejunum, within the sac.

Authors+Show Affiliations

Department of Radiology and Pediatrics, Childrens' Hospital Medical Center, Cincinnati, Ohio, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

8753666

Citation

Donnelly, L F., et al. "Left Paraduodenal Hernia Leading to Ileal Obstruction." Pediatric Radiology, vol. 26, no. 8, 1996, pp. 534-6.
Donnelly LF, Rencken IO, deLorimier AA, et al. Left paraduodenal hernia leading to ileal obstruction. Pediatr Radiol. 1996;26(8):534-6.
Donnelly, L. F., Rencken, I. O., deLorimier, A. A., & Gooding, C. A. (1996). Left paraduodenal hernia leading to ileal obstruction. Pediatric Radiology, 26(8), 534-6.
Donnelly LF, et al. Left Paraduodenal Hernia Leading to Ileal Obstruction. Pediatr Radiol. 1996;26(8):534-6. PubMed PMID: 8753666.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Left paraduodenal hernia leading to ileal obstruction. AU - Donnelly,L F, AU - Rencken,I O, AU - deLorimier,A A, AU - Gooding,C A, PY - 1996/1/1/pubmed PY - 1996/1/1/medline PY - 1996/1/1/entrez SP - 534 EP - 6 JF - Pediatric radiology JO - Pediatr Radiol VL - 26 IS - 8 N2 - Left paraduodenal hernias are a rare cause of abdominal pain or obstruction. However, because there is high associated mortality (20 %), prompt and accurate diagnosis is essential. Because internal hernias are not detectable on physical examination, imaging is relied upon for pre-operative diagnosis. Although both computed tomography and barium studies demonstrate left paraduodenal hernias as a cluster of bowel located posterior to the stomach and to the left of the distal duodenum with absence of the normal interdigitation between loops, the findings may be subtle. Knowledge of these findings can avoid an unnecessary delay in diagnosis. We present the case of a 15-year-old girl with a left paraduodenal hernia, where initial CT and barium studies demonstrated nonobstructed jejunum within the hernia sac. Two weeks later a repeat study showed obstructed distal ileum, rather than proximal jejunum, within the sac. SN - 0301-0449 UR - https://www.unboundmedicine.com/medline/citation/8753666/Left_paraduodenal_hernia_leading_to_ileal_obstruction_ L2 - https://medlineplus.gov/intestinalobstruction.html DB - PRIME DP - Unbound Medicine ER -