Case Report

Left paraduodenal hernia: Embryological and radiological findings

Atish Vanmali, Jaynund Maharajh, Mario Haines
South African Journal of Radiology | Vol 25, No 1 | a1979 | DOI: https://doi.org/10.4102/sajr.v25i1.1979 | © 2021 Atish Vanmali, Jaynund Maharajh, Mario Haines | This work is licensed under CC Attribution 4.0
Submitted: 01 September 2020 | Published: 17 February 2021

About the author(s)

Atish Vanmali, Jackpersad and Partners Inc., Private Practice, Durban, South Africa
Jaynund Maharajh, Department of Radiology, Faculty of Medicine, King Edward VIII Hospital, Durban, South Africa
Mario Haines, Jackpersad and Partners Inc., Private Practice, Durban, South Africa


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Abstract

Left paraduodenal hernia (PDH), may present as a surgical emergency with an increased risk of strangulation and incarceration. The diagnosis is challenging because of the non-specific presentation. In the absence of common epigastric or upper abdominal pathology and non-resolving symptoms, a high index of suspicion is required to diagnose left PDH. This report describes a case of radiologically diagnosed left paraduodenal hernia and subsequent successful surgery. It also includes a review of midgut embryology, and the anatomy and radiology of left PDH.

Keywords

internal hernia; paraduodenal hernia; diagnosis; upper abdominal pathology; surgery.

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