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Right paraduodenal hernia
Abstract
30-year-old man was referred from a peripheral hospital with a 6-day history of abdominal pain and vomiting. He had been constipated for the previous 3 weeks. He was acutely ill and de hydrated. His pulse rate was 102/min, blood pressure (BP) 115/65 mmHg, respiratory rate 20/min and temperature 37.9 ºC. Abdominal examination revealed a distended stomach with a succussion splash. There was no rebound tenderness and rectal
examination revealed stools in the rectum. A provisional diagnosis of a gastric outlet obstruction was made and a nasogastric tube was inserted draining green gastric contents.
An abdominal X-ray was rather nonspecific showing a single dilated loop of small bowel with some fluid levels in the right upper quadrant and stools and air in the rectum...
South African Journal of Radiology Vol. 10 (2) 2006: pp. 18-20
