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Case report
Laparoscopic reduction and repair of a left paraduodenal hernia
  1. Takashi Sakamoto1 and
  2. Alan Kawarai Lefor2
  1. 1 Department of Surgery, Tokyobay Urayasu Ichikawa Medical Center, Urayasu, Chiba, Japan
  2. 2 Department of Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan
  1. Correspondence to Dr Takashi Sakamoto; takac93{at}


Left paraduodenal hernias are the most common type of congenital internal hernia, but they are difficult to diagnose without appropriate imaging. A 79-year-old man with a history of recurrent abdominal pain had another similar episode of abdominal pain, which prompted him to seek evaluation. The pain resolved spontaneously on arrival to the hospital. Enhanced CT scan showed the characteristic findings of a left paraduodenal hernia and laparoscopic repair was undertaken. The small intestine was reduced successfully, and the hernia orifice was approximated with a continuous closure. He was discharged uneventfully 4 days after admission. The characteristic clinical and imaging findings of paraduodenal hernias are reviewed. Laparoscopic repair is reasonable in patients who have a paraduodenal hernia without intestinal ischemia.

  • gastrointestinal surgery
  • general surgery

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  • Contributors TS conceived the presented idea. AKL supervised the findings of this work. TS and AKL wrote the manuscript. All authors discussed the results and contributed to the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.