Emergency laparoscopic repair of left paraduodenal hernia in a young man: a case report - Report - MDSpire

Emergency laparoscopic repair of left paraduodenal hernia in a young man: a case report

  • By

  • Song Geng

  • Hong Jiang

  • Guole Nie

  • Longlong Geng

  • Tao Hao

  • July 15, 2026

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Clinical Report: Laparoscopic Emergency Repair of Left Paraduodenal Hernia

Overview

This case study details the diagnosis and laparoscopic treatment of a left paraduodenal hernia (PDH) in a 26-year-old male. Enhanced CT imaging was crucial for diagnosis, and the patient successfully underwent laparoscopic repair.

Background

Paraduodenal hernia (PDH) is a rare congenital intra-abdominal hernia that can lead to serious complications such as intestinal obstruction and necrosis. Accurate preoperative diagnosis is challenging, often resulting in misdiagnosis. Enhanced CT imaging has become the gold standard for identifying PDH.

Data Highlights

No numerical or trial data available in the source material.

Key Findings

  • The patient presented with abdominal pain and signs of intestinal obstruction.
  • CT imaging revealed clustered bowel loops indicative of left paraduodenal hernia.
  • Laparoscopic surgery involved hernia ring release, intestinal reduction, and repair.
  • The patient had a successful recovery post-surgery.

Clinical Implications

Clinicians should maintain a high index of suspicion for PDH in young patients presenting with unexplained abdominal pain and signs of obstruction. Enhanced CT imaging is essential for accurate diagnosis.

Conclusion

PDH, while rare, requires prompt diagnosis and intervention.

Related Resources & Content

  1. Reevaluation of Laparoscopic Approaches for Duodenal Atresia Repair, 2011 -- Link
  2. Diaphragmatic Hernia Complications Post-Roux-en-Y Gastric Bypass, 2025 -- Link
  3. Laparoscopic Single-Port Percutaneous Closure of Femoral Hernias in Pediatric Patients, 2017 -- Link
  4. Laparoscopic Intervention for Spontaneous Lesser Omental Herniation, 2023 -- Link
  5. Left paraduodenal hernia, a diagnostic challenge, 2025 -- Link
  6. BJS article on PDH, 2023 -- Link
  7. Left paraduodenal hernia, a diagnostic challenge | Journal of Surgical Case Reports | Oxford Academic
  8. https://academic.oup.com/bjs/article/111/7/znae167/7718439

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