Successful laparoscopic management of strangulated left paraduodenal hernia: A case report and review of minimally invasive approaches.

ABSTRACT:

Introduction

Paraduodenal hernias are rare congenital anomalies that can lead to acute bowel obstruction and strangulation. Laparoscopic management of these complex cases in emergency settings remains challenging, particularly when bowel ischemia is present.

Case presentation

We report a case of a 56-year-old woman presenting with acute small bowel obstruction due to a strangulated left paraduodenal hernia. Emergency laparoscopic surgery revealed ischemic bowel segments within the hernia sac. We utilized indocyanine green (ICG) fluorescence imaging to assess bowel perfusion intraoperatively, guiding our decision for bowel resection. The procedure involved hernia reduction, resection of non-viable bowel, and primary anastomosis, followed by hernia defect closure. Despite enco

SUBMITTER: Yodying H 

PROVIDER: S-EPMC11617917 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature