Öz
İnternal herni batın içerisindeki cerrahi patolojiler arasında nadir sebeplerden birisidir. Paraduodenal herni(PDH) internal hernilerin en sık görülen alt tipidir. Tanı için spesifik klinik bulgu ve laboratuvar bulgusu yoktur. Bu durum hastalarda tanıda gecikmeye ve olumsuz klinik sonuçlara sebep olabilir. Bilgisayarlı Tomografi (BT) internal herni tanısı konulmasında yardımcı olabilecek görüntüleme yöntemidir. Klinikte takip edilen, geçmişte de benzer şikayetler ile yatışı olmuş ve paraduodenal herni (PDH) sebebiyle opere ettiğimiz iki hastamızın olgu sunumu hazırlanmıştır. İnternal herniasyon, karın ağrısı ve intestinal obstrüksiyon bulguları olan hastalarda özellikle açıklanamayan ve tekrarlayan yatış öyküsünde akılda tutulması gereken ön tanılardan biridir. BT’de herni kesesi gözlenmesi ve içerisinde sıkışmış ince bağırsak ansları gözlenmesi internal herniasyon tanısında bize yardımcı olabilecek tek objektif bulgudur.
Anahtar Kelimeler
Paraduodenal Herni İnternal Herni Mekanik İntestinal Obstrüksiyon
Kaynakça
- 1. Ghahremani GG. Internal abdominal hernias. Surg Clin North Am. 1984;64:393-06.
- 2. Tong T, Fu J, Kong Y. Acute intestinal obstruction caused by paraduodenal hernia. ANZ J Surg. 2022;92:2713-15.
- 3. Monica ML, Antonella M, Gloria A, Diletta C, Nicola M, Ginevra D, et al. Internal hernias: a difficult diagnostic challenge. Review of CT signs and clinical findings. Acta Bio Medica. 2019;90:20-37.
- 4. Şen M, İnan A, Dener C, Bozer M. Paraduodenal internal herniler: İki olgu nedeni ile klinik analiz. Ulus Travma Acil Cerrahi Derg. 2007;13:232-6.
- 5. Xu H, Nie N, Kong F, Zhong B. Large left paraduodenal hernia with intestinal ischemia: a case report and literature review. J Int Med Res. 2020;48:300060520955040.
- 6. Schizas D, Apostolou K, Krivan S, Kanavidis P, Katsaros I, Vailas M, et al. Paraduodenal hernias: a systematic review of the literature. Hernia. 2019;23:1187-97.
- 7. Kelahan L, Menias CO, Chow L. A review of internal hernias related to congenital peritoneal fossae and apertures. Abdom Radiol. 2021;46:1825-36.
- 8. Shi Y, Felsted AE, Masand PM, Mothner BA, Nuchtern JG, Rodriguez JR, et al. Congenital left paraduodenal hernia causing chronic abdominal pain and abdominal catastrophe. Pediatrics. 2015;135:1067-71.
- 9. Xue Y, Liu C, Lin B, Ding P, Qi H. Large left paraduodenal hernia identified and repaired by laparoscopy: A case report. J Int Med Res. 2023;51:3000605231159967.
- 10. Omland SH, Hougen HP. Left paraduodenal hernia: an autopsy case. Am J Forensic Med Pathol. 2012;33:181-3.
Öz
Internal hernia is one of the rare causes of surgical pathologies in the abdomen.Paraduodenal hernia (PDH) is the most frequent subtype of internal hernia. There are no specific clinical and laboratory findings for diagnosis. This situation may cause delays in diagnosis and adverse clinical outcomes in patients. Computed Tomography (CT) is an imaging method that can help in the diagnosis of internal hernia. A case report of our two patients who were followed up in the clinic, who had been hospitalized with similar complaints in the past and operated for paraduodenal hernia (PDH) has been prepared. Internal herniation is one of the pre-diagnoses that should be kept in mind, especially in the history of unexplained and recurrent hospitalization in patients with abdominal pain and signs of intestinal obstruction. Observation of hernia sac on CT and observing small intestinal loops trapped in it are the only objective findings that can help us in the diagnosis of internal herniation.
Anahtar Kelimeler
Paraduodenal hernia Internal hernia Mechanical Intestinal Obstruction
Kaynakça
- 1. Ghahremani GG. Internal abdominal hernias. Surg Clin North Am. 1984;64:393-06.
- 2. Tong T, Fu J, Kong Y. Acute intestinal obstruction caused by paraduodenal hernia. ANZ J Surg. 2022;92:2713-15.
- 3. Monica ML, Antonella M, Gloria A, Diletta C, Nicola M, Ginevra D, et al. Internal hernias: a difficult diagnostic challenge. Review of CT signs and clinical findings. Acta Bio Medica. 2019;90:20-37.
- 4. Şen M, İnan A, Dener C, Bozer M. Paraduodenal internal herniler: İki olgu nedeni ile klinik analiz. Ulus Travma Acil Cerrahi Derg. 2007;13:232-6.
- 5. Xu H, Nie N, Kong F, Zhong B. Large left paraduodenal hernia with intestinal ischemia: a case report and literature review. J Int Med Res. 2020;48:300060520955040.
- 6. Schizas D, Apostolou K, Krivan S, Kanavidis P, Katsaros I, Vailas M, et al. Paraduodenal hernias: a systematic review of the literature. Hernia. 2019;23:1187-97.
- 7. Kelahan L, Menias CO, Chow L. A review of internal hernias related to congenital peritoneal fossae and apertures. Abdom Radiol. 2021;46:1825-36.
- 8. Shi Y, Felsted AE, Masand PM, Mothner BA, Nuchtern JG, Rodriguez JR, et al. Congenital left paraduodenal hernia causing chronic abdominal pain and abdominal catastrophe. Pediatrics. 2015;135:1067-71.
- 9. Xue Y, Liu C, Lin B, Ding P, Qi H. Large left paraduodenal hernia identified and repaired by laparoscopy: A case report. J Int Med Res. 2023;51:3000605231159967.
- 10. Omland SH, Hougen HP. Left paraduodenal hernia: an autopsy case. Am J Forensic Med Pathol. 2012;33:181-3.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Genel Cerrahi |
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 18 Mart 2024 |
| Gönderilme Tarihi | 3 Temmuz 2023 |
| Yayımlandığı Sayı | Yıl 2024 Cilt: 3 Sayı: 1 |
Kaynak Göster
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