Laparoscopic management of right paraduodenal hernia along with the correction of malrotation in a pediatric patient: a case report

Abstract

Paraduodenal hernias (PDH) are rare; however, they are the most common form of internal hernias. A 11-year-old boy presented to us with a history of intermittent abdominal pain since 1 year. His physical examination was normal. Plain abdominal radiographs and ultrasonography were inconclusive. Contrast-enhanced computed tomography of the abdomen reported a right subhepatic cecum. The patient underwent diagnostic laparoscopy followed by successful laparoscopic right PDH repair (excision of hernial sac, release of Ladd’s bands, and appendectomy). Ours is the sixth report to describe laparoscopic repair of a right PDH and the third in the pediatric age group. He was discharged home on postoperative day 1. He was completely asymptomatic at the 1-year follow-up. 

Keywords: laparoscopic, malrotation, paraduodenal hernia, pediatric