@article{LS5278,
author = {Marisa E. Pulcrano and Lan Vu and Matthew C. Lin},
title = {A balancing act: obstruction following laparoscopic closure of a congenital paraduodenal hernia},
journal = {Laparoscopic Surgery},
volume = {3},
number = {0},
year = {2019},
keywords = {},
abstract = {Left paraduodenal hernias are congenital internal hernias caused by the failure of the mesenteric and parietal peritoneum fusion with midgut malrotation. We present a case of a 22-year-old woman who presented with acute abdominal pain and was found to have a left paraduodenal hernia on CT. She underwent a laparoscopic reduction and primary repair of the defect. She presented two weeks later with acute abdominal pain and emesis and was taken emergently to the operating room after a CT showed a high-grade obstruction at the site of the prior hernia defect. In a laparoscopic converted to open exploration, several of the prior hernia closure’s sutures were removed and the bowel was released. This case highlights the importance of a perfect hernia closure, tight enough to prevent a recurrence but not too tight to cause an obstruction.},
issn = {2616-4221}, url = {https://ls.amegroups.org/article/view/5278}
}