Diagnosis and treatment of paraduodenal hernia
10.3760/cma.j.issn.1008-6706.2016.04.016
- VernacularTitle:十二指肠旁疝的诊断与治疗
- Author:
Shuangxi HAN
;
Li WANG
;
Jieying WANG
;
Chuanguang LI
;
Meng XU
- Publication Type:Journal Article
- Keywords:
Paraduodenal hernia;
Diagnosis;
Treatment
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;(4):541-543
- CountryChina
- Language:Chinese
-
Abstract:
Objective To sum up the experience of diagnosis and treatment of paraduodenal hernia. Methods The clinical data of 18 cases of paraduodenal hernia treated by surgery were analyzed retrospectively. Results The average age of the patients was 34 years old.There were 15 cases with left paraduodenal hernia and 3 cases with right paraduodenal hernia.Ten patients usually had no clinical symptoms,while acute abdominal pain occurred after full food in 7 cases,and after vigorous movement in 10 cases respectively.Abdominal X-ray revealed complete or incomplete intestinal obstruction in 16 cases,while abdominal CT revealed abnormal cystic loops of small intestine between the pancreas and the stomach in 10 cases.All 18 cases underwent surgical operation,recovered 10-15 days after operation.After 2-8 years follow-up,there was no hernia recurrence.Conclusion Paraduodenal her-nia is difficult to diagnosis before operation,and the key to correct diagnosis and treatment is to explore the positive exploratory laparotomy.
