Questions in the Gastroenterology and Liver Diseases Forum have been answered by Dr. Kevin Pho who is board certified in Internal Medicine and by doctors from Henry Ford Health System.

Question Title: Unusual Hernia involving small intestines

Forum: The Gastroenterology and Liver Diseases Forum
Topic: Constipation

Re: Unusual Hernia involving small intestines

Re: Unusual Hernia involving small intestines

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Posted by HFHSM.D.-rf on March 18, 1998 at 13:31:02:

In Reply to: Unusual Hernia involving small intestines posted by Roberta on March 03, 1998 at 11:14:03:

: Recently I finally got some answers as to why I have been having so many problems with constipation,pain, etc. Through a CAT scan and upper G.I.it has been revealed that I have an Internal Hernia and that about two feet (they are not sure about this) of my small intestine is located (in a loop )up behind my stomach.
The Drs.here in Little Rock tell me they have never seen this situation before.

I am schedule to have surgery this month...March 16,1998
Needless to say, I would want to hear from any Doctor that could give me any insight,information,etc. about this condition.
Feel free to E-mail me with information
Thank-you
Roberta
_____

Dear Roberta,
I hope that you are recuperating well from your recent surgery. Your letter seems to describe a paraduodenal hernia. This condition is extremely rare and it is not suprising that your surgeon had not seen a case previously. Patients with this problem usually present with symptoms of intermittent obstruction: bloating, abdominal crampy pain, vomiting. The diagnosis can be difficult to make because you need to do the X-ray studies at the time the bowel is herniated. Because of the intermittent nature of the hernia the X-ray may miss the diagnosis if done when there are no symptoms. Consequently, patients often have numerous physician visits and tests without an explanation for their symptoms.

Once a diagnosis is made surgerey is required to prevent the surgical risks of bowel obstruction, infarction (because of impairment of the blood supply) and perforation.

This information is provided for informational purposes only and should not be considered a formal medical evaluation.

Best of luck in your recovery.

HFHSM.D.-rf
*keywords: paraduodenal hernia, abdominal pain
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