Caitlin Polistena, MD, Diego Camacho, MD, FACS. Montefiore Medical Center
This is the case of an incidentally found left paraduodenal hernia during elective laparoscopic gastric bypass surgery. The patient is a 52 year old man with no prior history of intra-abdominal surgery who underwent multidisciplinary workup for bariatric surgery and was found to be an adequate candidate for the procedure. No imaging was performed prior to surgery. Upon entering the abdomen there was a distinct absence of small bowel. The ascending and descending mesocolon were noted to be fused in the midline, and the small bowel was found to be trapped in the left retroperitoneum. A lysis of adhesions was undertaken to free the small bowel all the way up to the ligament of treitz. The large defect in the transverse mesocolon was then closed and the proximal jejunum pexied to the transverse mesocolon. Once normal anatomy is restored the gastric bypass is performed in standard fashion.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95107
Program Number: V263
Presentation Session: Video Loop Day 2
Presentation Type: VideoLoop