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Right Paraduodenal Hernia Accompanying Superior Mesenteric Vein Thrombosis: a Rare Case

Overview
Journal BMJ Case Rep
Specialty General Medicine
Date 2021 Jun 5
PMID 34088688
Citations 2
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Abstract

A 59-year-old man with abdominal pain was admitted to the emergency department. Investigations had revealed a right-sided paraduodenal hernia and superior mesenteric vein (SMV) twisting around the superior mesenteric artery in rotation, the 'whirlpool sign'. Owing to the increasing severity of abdominal pain and the presence of SMV thrombosis complicated with strangulated paraduodenal herniation associated with high mortality rates, diagnostic laparoscopy was performed. Resection of the intestines was not needed and paraduodenal hernia was repaired. The patient was uneventfully discharged.

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References
1.
Choudhary A, Grayer D, Nelson A, Roberts I . Mesenteric venous thrombosis: a diagnosis not to be missed!. J Clin Gastroenterol. 2000; 31(2):179-82. DOI: 10.1097/00004836-200009000-00021. View

2.
Kumar S, Sarr M, Kamath P . Mesenteric venous thrombosis. N Engl J Med. 2002; 345(23):1683-8. DOI: 10.1056/NEJMra010076. View

3.
Virich G, Davies W . A massive left paraduodenal fossa hernia as an unusual cause of small bowel obstruction. Ann R Coll Surg Engl. 2010; 92(4):W7-9. PMC: 5696890. DOI: 10.1308/147870810X12659688851997. View

4.
Fukada T, Mukai H, Shimamura F, Furukawa T, Miyazaki M . A causal relationship between right paraduodenal hernia and superior mesenteric artery syndrome: a case report. J Med Case Rep. 2010; 4:159. PMC: 2896375. DOI: 10.1186/1752-1947-4-159. View

5.
Acosta S, Ogren M, Sternby N, Bergqvist D, Bjorck M . Mesenteric venous thrombosis with transmural intestinal infarction: a population-based study. J Vasc Surg. 2005; 41(1):59-63. DOI: 10.1016/j.jvs.2004.10.011. View