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Paraduodenal Hernia
Siva P. Raman, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Mesocolic hernia
          • Definitions

            • Congenital internal hernia resulting from protrusion of bowel loops into congenital paraduodenal fossa through abdominal mesenteric defect

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • Fluoroscopic Findings

                  • Ultrasonographic Findings

                    • Angiographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Staging, Grading, & Classification

                              • Gross Pathologic & Surgical Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Image Interpretation Pearls

                                            Selected References

                                            1. Schizas D et al: Paraduodenal hernias: a systematic review of the literature. Hernia. 23(6):1187-97, 2019
                                            2. Doishita S et al: Internal hernias in the era of multidetector ct: correlation of imaging and surgical findings. Radiographics. 36(1):88-106, 2016
                                            3. Liao YH et al: Right paraduodenal hernia: characteristic MDCT findings. Abdom Imaging. 36(2):130-3, 2011
                                            4. Tang V et al: Internal hernias in children: spectrum of clinical and imaging findings. Pediatr Radiol. 41(12):1559-68, 2011
                                            5. Falk GA et al: Left paraduodenal hernia: case report and review of the literature. BMJ Case Rep. 2010, 2010
                                            6. Kandpal H et al: Combined transmesocolic and left paraduodenal hernia: barium, CT and MRI features. Abdom Imaging. 32(2):224-7, 2007
                                            7. Prada-Arias M et al: Computed tomography diagnosis of symptomatic right paraduodenal hernia associated with enteric duplication cyst. J Pediatr Surg. 42(11):1938-41, 2007
                                            8. Martin LC et al: Review of internal hernias: radiographic and clinical findings. AJR Am J Roentgenol. 186(3):703-17, 2006
                                            9. Huang YM et al: Left paraduodenal hernia presenting as recurrent small bowel obstruction. World J Gastroenterol. 11(41):6557-9, 2005
                                            10. Osadchy A et al: Small bowel obstruction related to left-side paraduodenal hernia: CT findings. Abdom Imaging. 30(1):53-5, 2005
                                            11. Ovali GY et al: Transient left paraduodenal hernia. Comput Med Imaging Graph. 29(6):459-61, 2005
                                            12. Tainaka T et al: Left paraduodenal hernia leading to protein-losing enteropathy in childhood. J Pediatr Surg. 40(2):E21-3, 2005
                                            13. Brunner WC et al: Incidental paraduodenal hernia found during laparoscopic colectomy. Hernia. 8(3):268-70, 2004
                                            14. Catalano OA et al: Internal hernia with volvulus and intussusception: case report. Abdom Imaging. 29(2):164-5, 2004
                                            15. Fukunaga M et al: Laparoscopic surgery for left paraduodenal hernia. J Laparoendosc Adv Surg Tech A. 14(2):111-5, 2004
                                            16. Moran JM et al: Paramesocolic hernias: consequences of delayed diagnosis. Report of three new cases. J Pediatr Surg. 39(1):112-6, 2004
                                            17. Papaziogas B et al: Surgical images: soft tissue. Right paraduodenal hernia. Can J Surg. 47(3):195-6, 2004
                                            18. Vyas FL et al: Left paraduodenal hernia: an uncommon cause of chronic abdominal pain. Trop Gastroenterol. 25(4):189-90, 2004
                                            19. Ramachandran P et al: Strangulated left paraduodenal hernia in an infant. Pediatr Surg Int. 19(1-2):120-1, 2003
                                            20. Blachar A et al: Gastrointestinal complications of laparoscopic Roux-en-Y gastric bypass surgery: clinical and imaging findings. Radiology. 223(3): 625-32, 2002
                                            21. Blachar A et al: Internal hernia: an increasingly common cause of small bowel obstruction. Semin Ultrasound CT MR. 23(2): 174-83, 2002
                                            22. Hendrickson RJ et al: Small bowel obstruction due to a paracolonic retroperitoneal hernia. Am Surg. 68(9):756-8, 2002
                                            23. Blachar A et al: Bowel obstruction following liver transplantation: clinical and ct findings in 48 cases with emphasis on internal hernia. Radiology. 218(2): 384-8, 2001
                                            24. Blachar A et al: Internal hernia: clinical and imaging findings in 17 patients with emphasis on CT criteria. Radiology. 218(1): 68-74, 2001
                                            25. Blachar A et al: Radiologist performance in the diagnosis of internal hernia by using specific CT findings with emphasis on transmesenteric hernia. Radiology. 221(2): 422-8, 2001
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Pathology

                                                  • Clinical Issues

                                                    TERMINOLOGY

                                                    • Synonyms

                                                      • Mesocolic hernia
                                                    • Definitions

                                                      • Congenital internal hernia resulting from protrusion of bowel loops into congenital paraduodenal fossa through abdominal mesenteric defect

                                                    IMAGING

                                                    • General Features

                                                      • Radiographic Findings

                                                        • CT Findings

                                                          • Fluoroscopic Findings

                                                            • Ultrasonographic Findings

                                                              • Angiographic Findings

                                                                • Imaging Recommendations

                                                                  DIFFERENTIAL DIAGNOSIS

                                                                    PATHOLOGY

                                                                    • General Features

                                                                      • Staging, Grading, & Classification

                                                                        • Gross Pathologic & Surgical Features

                                                                          CLINICAL ISSUES

                                                                          • Presentation

                                                                            • Demographics

                                                                              • Natural History & Prognosis

                                                                                • Treatment

                                                                                  DIAGNOSTIC CHECKLIST

                                                                                  • Consider

                                                                                    • Image Interpretation Pearls

                                                                                      Selected References

                                                                                      1. Schizas D et al: Paraduodenal hernias: a systematic review of the literature. Hernia. 23(6):1187-97, 2019
                                                                                      2. Doishita S et al: Internal hernias in the era of multidetector ct: correlation of imaging and surgical findings. Radiographics. 36(1):88-106, 2016
                                                                                      3. Liao YH et al: Right paraduodenal hernia: characteristic MDCT findings. Abdom Imaging. 36(2):130-3, 2011
                                                                                      4. Tang V et al: Internal hernias in children: spectrum of clinical and imaging findings. Pediatr Radiol. 41(12):1559-68, 2011
                                                                                      5. Falk GA et al: Left paraduodenal hernia: case report and review of the literature. BMJ Case Rep. 2010, 2010
                                                                                      6. Kandpal H et al: Combined transmesocolic and left paraduodenal hernia: barium, CT and MRI features. Abdom Imaging. 32(2):224-7, 2007
                                                                                      7. Prada-Arias M et al: Computed tomography diagnosis of symptomatic right paraduodenal hernia associated with enteric duplication cyst. J Pediatr Surg. 42(11):1938-41, 2007
                                                                                      8. Martin LC et al: Review of internal hernias: radiographic and clinical findings. AJR Am J Roentgenol. 186(3):703-17, 2006
                                                                                      9. Huang YM et al: Left paraduodenal hernia presenting as recurrent small bowel obstruction. World J Gastroenterol. 11(41):6557-9, 2005
                                                                                      10. Osadchy A et al: Small bowel obstruction related to left-side paraduodenal hernia: CT findings. Abdom Imaging. 30(1):53-5, 2005
                                                                                      11. Ovali GY et al: Transient left paraduodenal hernia. Comput Med Imaging Graph. 29(6):459-61, 2005
                                                                                      12. Tainaka T et al: Left paraduodenal hernia leading to protein-losing enteropathy in childhood. J Pediatr Surg. 40(2):E21-3, 2005
                                                                                      13. Brunner WC et al: Incidental paraduodenal hernia found during laparoscopic colectomy. Hernia. 8(3):268-70, 2004
                                                                                      14. Catalano OA et al: Internal hernia with volvulus and intussusception: case report. Abdom Imaging. 29(2):164-5, 2004
                                                                                      15. Fukunaga M et al: Laparoscopic surgery for left paraduodenal hernia. J Laparoendosc Adv Surg Tech A. 14(2):111-5, 2004
                                                                                      16. Moran JM et al: Paramesocolic hernias: consequences of delayed diagnosis. Report of three new cases. J Pediatr Surg. 39(1):112-6, 2004
                                                                                      17. Papaziogas B et al: Surgical images: soft tissue. Right paraduodenal hernia. Can J Surg. 47(3):195-6, 2004
                                                                                      18. Vyas FL et al: Left paraduodenal hernia: an uncommon cause of chronic abdominal pain. Trop Gastroenterol. 25(4):189-90, 2004
                                                                                      19. Ramachandran P et al: Strangulated left paraduodenal hernia in an infant. Pediatr Surg Int. 19(1-2):120-1, 2003
                                                                                      20. Blachar A et al: Gastrointestinal complications of laparoscopic Roux-en-Y gastric bypass surgery: clinical and imaging findings. Radiology. 223(3): 625-32, 2002
                                                                                      21. Blachar A et al: Internal hernia: an increasingly common cause of small bowel obstruction. Semin Ultrasound CT MR. 23(2): 174-83, 2002
                                                                                      22. Hendrickson RJ et al: Small bowel obstruction due to a paracolonic retroperitoneal hernia. Am Surg. 68(9):756-8, 2002
                                                                                      23. Blachar A et al: Bowel obstruction following liver transplantation: clinical and ct findings in 48 cases with emphasis on internal hernia. Radiology. 218(2): 384-8, 2001
                                                                                      24. Blachar A et al: Internal hernia: clinical and imaging findings in 17 patients with emphasis on CT criteria. Radiology. 218(1): 68-74, 2001
                                                                                      25. Blachar A et al: Radiologist performance in the diagnosis of internal hernia by using specific CT findings with emphasis on transmesenteric hernia. Radiology. 221(2): 422-8, 2001