Paraduodenal Hernia Evoking Intermittent Abdominal Pain

Abstract

Purpose: Description of a very rare case of internal abdominal hernia, namely herniation of the proximal jejunum in the Landzert fossa, through a hole in the mesocolon transversum.

Material and methods: based on preoperative history, clinical state and radiological findings, the diagnosis of internal hernia was strongly suspected.

Results: suspected diagnosis was confirmed during laparotomy. After reduction of the jejunum and closure of the hernia orifice, the patient recovered promptly.

Conclusion: the diagnosis of internal herniation should always be considered in every patient who presents with an acute abdomen, signs of (sub)obstruction and non-typical history. The most important diagnostic tool is computer tomography, that is accurate in 77%.

Key Words:

• Omental Bursa
• acute abdomen
• intestinal obstruction
• internal abdominal hernia.

Additional information

Notes on contributors

C. Meeussen

Dr. C. Meeussen, M.D. Bosuil 92 B-2100 Deurne, Belgium E-mail: [email protected]