Sol paraduodenal herni: Çok kesitli bilgisayarlı tomografi bulguları

Öz

Paraduodenal herniler, internal abdominal herniasyonun en sık rastlanan tipi olup vakaların yaklaşık %50'sini oluşturur. Sol paraduodenal herni, sağa göre 3 kat daha fazla izlenir. Preoperatif dönemde nadiren tanınmakla birlikte semptomatik dönemde yapılan abdominal görüntüleme sayesinde tanıya gidilebilir. Bulantı, kusma ve karın ağrısı şikayetleri ile hastanemize başvuran ve yapılan abdominal bilgisayarlı tomografi incelemesi sonrasında sol paraduodenal herni saptanan olguyu bildiriyoruz.

Anahtar Kelimeler

• İnternal herni, paraduodenal herni, karın ağrısı, bilgisayarlı tomografi

Left paraduodenal hernia: Multidetector computerized tomography findings

Öz

Paraduodenal herniae are the most common internal herniae, accounting for 50% of the cases. Left–sided herniae are three times more common than right–sided paraduodenal herniae. Diagnosis is rarely made preoperatively but abdominal imaging helps to detect symptomatic cases early on. We report a case of left-sided paraduodenal hernia presented with nausea, vomiting and abdominal pain, diagnosed after abdominal computerized tomography.

Anahtar Kelimeler

• Internal hernia, Paraduodenal hernia, abdominal pain, computerized tomography

Kaynakça

1. Meyers MA. Internal abdominal hernias. In: Meyers MA, ed. Dynamic radiology of abdomen; normal and pathologic anatomy, 2nd ed. New York: Springer–Verlag,1982.
2. Landzert. Ueber die Hernia Retroperitonealis (Treitz) und Ihre Beziehungen zur Fossa duodeno-jejunalis. St Petersb Med Ztschr MF 1871;2:306-350
3. Olazabal A, Gausch I, Casas D. Case report: CT diagnosis of non obstructive left paraduodenal hernia. Clin Radiol 1992;46:288-9.
4. Blachar A, Federle MP. Internal hernia: an increasingly common cause of small bowel obstruction. Semin Ultrasound CT MR 2002; 23:174-83.
5. Brigham RA, d’avis JC. Paraduodenal hernia. In: Nyhus LM, Condon RE, editors. Hernia. 3rd ed. Philadelphia: Lippincott; 1989. p. 481-6.
6. Khan MA, Lo AY, Vande Meale DM. Paraduodenal herni. Am Surg 1998;64:1218-22.
7. Warschauer DM, Mauro MA. CT diagnosis of paradudenal hernia. Gastrointest Radiol 1992;17:13-5.
8. Tong RS, Sengupta S, Tjandra JJ. Left paraduodenal hernia. Case report and review of literature. ANZ J Surg 2002;72:69-71.