Author(s)

Abdoulaye Kanté^1*, Mamady Almami Kéita², Idrissa Tounkara¹, Drissa Ouattara¹, Bréhima Bengaly¹, Souleymane Sanogo¹, Bréhima Togola¹, Drissa Traoré¹, Nouhoum Ongoiba¹

¹General Surgery Department of The Kati-Mali Reference Health Center, Koulikoro, Mali.
²Service of Surgery “B” of The CHU Du Point G, Faculty of Medicine and Odontostomatology, Bamako, Mali.

The left para-duodenal internal hernia, whose origin is generally embryological, is a rare etiology of intestinal obstruction found mainly in young adults. We report here the case of acute intestinal obstruction by left para-duodenal internal hernia in a 36-year-old young man. It was a patient who consulted urgently for occlusive syndrome with cessation of materials and gases. Abdominal percussion noted abdominal tympanism and pre-hepatic dullness was preserved. The flow and icicle signs were negative. Palpation did not objectify hepatosplenomegaly and did not find any organomegaly either. On the other hand, she found an epigastric defense. The abdominal X-ray without preparation showed water levels that were wider than high, hail-like. We performed a median above and below umbilical laparotomy and intraoperatively, it was an internal hernia with incarceration of small loops in a voluminous left paraduodenal sac of 12 cm. They were not necrotic and quickly recolored after extrication. We resected the hernial sac and closed the hernial orifice with separate stitches with absorbable suture 0. The postoperative course was simple. The patient was discharged from the hospital on the 4th postoperative day. After 18 months of hindsight, he is doing well.

Paraduodenal Internal Hernia, Occlusion, Laparotomy

Kanté, A. , Kéita, M. , Tounkara, I. , Ouattara, D. , Bengaly, B. , Sanogo, S. , Togola, B. , Traoré, D. and Ongoiba, N. (2024) Stranched Internal Hernia Revealed by Occlusion of the Large Libra: A Propos of a Case. Case Reports in Clinical Medicine, 13, 37-42. doi: 10.4236/crcm.2024.131004.