Ulus Travma Acil Cerrahi Derg. 2022; 28(2): 229-232 | DOI: 10.14744/tjtes.2020.73232

Sol paraduodenal fýtýðýn laparoskopik onarýmý: Nadir bir internal herni olgusu

Erkan Somuncu, Emre Bozdað
Saðlýk Bilimleri Üniversitesi, Kanuni Sultan Süleyman Eðitim ve Araþtýrma Hastanesi, Genel Cerrahi Anabilim Dalý, Ýstanbul

Paraduodenal fýtýk, iç fýtýðýn en yaygýn nedeni olan nadir bir doðuþtan anomalidir. Sol taraflý paraduodenal herniler (LPDH) sað taraflýdan daha yaygýndýr ve yaþamýn dördüncü ve altýncý yýllarýndaki erkek hastalarda yaygýndýr. LPDH sýklýkla klinik olarak semptomsuzdur ve sýklýkla cerrahi hastalarda tesadüfen saptanýr. Abdominal bilgisayarlý tomografi (BT) tanýda altýn standarttýr. Paraduodenal herni, baðýrsak týkanýklýðýna baðlý olarak yüksek mortalite oranlarýna sahip iskemiye neden olabilir. Bu nedenle, tanýdan sonra mümkün olan en kýsa sürede cerrahi onarým yapýlmalýdýr. Burada laparoskopik taný ve erken tamir edilen bir LPDH olgusunu sunuyoruz.

Anahtar Kelimeler: Ýnternal herni, laparoskopik herni tamiri, paraduedonal herni.

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Laparoscopic repair of the left paraduodenal hernia: A rare case of an internal hernia

Erkan Somuncu, Emre Bozdað
Department of General Surgery, University of Health Sciences, Kanuni Sultan Süleyman Training and Research Hospital, Ýstanbul-Turkey

Paraduodenal hernia (PDH) is a rare congenital anomaly, the most common cause of internal hernia. The left-sided PDHs (LPDHs) are more common than the right-sided and are common in male patients at the 4th and 6th years of life. LPDH is been often clinically asymptomatic and often detected by chance in surgical patients. Abdominal computed tomography is the gold standard in diagnosis. PDH can cause ischemia with the high mortality rates due to intestinal obstruction. Therefore, surgical repair should be done as soon as possible after diagnosis. Here, we present a case of LPDH that was laparoscopically diagnosed and repaired early.

Keywords: Internal hernia, laparoscopic hernia repair, paraduedonal hernia.

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