PMC3015685_01
Left paraduodenal hernia. Computed tomography of the abdomen demonstrates loop of small bowel through the paraduodenal fossa.
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F1
Computed tomography (CT) of the abdomen with contrast revealed a distended and edematous jejunum passing behind the mesenteric root, suggesting an intraabdominal herniation (Figure 1).
(A) A loop of jejunum was found herniating through the left paraduodenal fossa of Landzert (arrow). Intraoperative photograph shows area after reduction. IMV=Inferior mesenteric vein. (B) The 2.5-cm hernia defect was repaired by approximating the surrounding loose areolar tissue together with 3 interrupted 3- 0 silk sutures, taking care not to injure the inferior mesenteric vein.
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PMC3015685_01_jsls-10-1-90-g02.jpg
F2
The 2-cm hernia defect was repaired by approximating the surrounding loose areolar tissue together with 3 interrupted 3-0 silk sutures, taking care not to injure the inferior mesenteric vein (Figure 2).