Left paraduodenal hernia combined with acute cholecystitis
Annals of Surgical Treatment and Research
; : 217-219, 2014.
Article
em En
| WPRIM
| ID: wpr-133145
Biblioteca responsável:
WPRO
ABSTRACT
Paraduodenal hernia is a rare congenital malformation. Management consists of reduction of the herniated intestine and repair of the defect. A 74-year-old woman presented to the Emergency Department with persistent right upper quadrant pain that began 3 hours ago. Physical examination revealed tenderness at right upper quadrant of abdomen. Computed tomography revealed multiple gallstones with gallbladder wall thickening, marked dilatation of stomach and duodenum and a sac-like mass of small bowel loops to left of ligament of Treitz suggesting acute cholecystitis and left paraduodenal hernia. Laparoscopic exploration of abdomen was performed and cholecystectomy, bowel reduction, and closure of defect with intracorporeal interrupted suturing were performed. For left paraduodenal hernia without bowel necrosis, laparoscopic reduction of incarcerated bowel and closure of hernial orifice are technically feasible and may be the surgical method of choice because of its minimal invasiveness and aesthetic advantage.
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Texto completo:
1
Índice:
WPRIM
Assunto principal:
Exame Físico
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Estômago
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Colecistectomia
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Cálculos Biliares
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Colecistite Aguda
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Dilatação
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Duodeno
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Serviço Hospitalar de Emergência
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Abdome
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Vesícula Biliar
Limite:
Aged
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Female
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Humans
Idioma:
En
Revista:
Annals of Surgical Treatment and Research
Ano de publicação:
2014
Tipo de documento:
Article