A CASE OF LEFT PARADUODENAL HERNIA DIAGNOSED PREOPERATIVELY BY MAGNETIC RESONANCE IMAGING

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  • MRIにて術前診断した左傍十二指腸ヘルニアの1例

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Abstract

We report a case of left paraduodenal hernia diagnosed preoperatively by magnetic resonance imaging (MRI). A 30-year-old woman was admitted with intermittent left upper abdominal pain and nausea. There was tenderness in the left upper abdomen, but no peritoneal signs were present. Computed tomography showed a mass lesion in the stomach dorsum. MRI clearly showed intestinal wall structure and intensity. Therefore, she was diagnosed as left paraduodenal hernia. A laparotomy was performed, and the hernia orifice and hernia sac were detected. We closed the hernia orifice after removing small intestine. Repeated intermittent obstructive symptoms were often observed with paraduodenal hernia. But preoperative diagnosis was difficult. In this case, MRI may therefore provide useful information for the diagnosis.

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