Abstract：
Paraduodenal hernias (PDHs) are rare types of internal hernias that pose a significant diagnostic and therapeutic challenge because they can present with non-specific symptoms ranging from digestive disorders and chronic abdominal pain to symptoms of intestinal obstruction which may be life-threatening. We describe here a woman in her early 30\'s who presented to the emergency department with a three-hour history of generalized intermittent crampy abdominal pain. She had experienced multiple similar episodes of this pain over the past 20 years. Totally laparoscopic technique was used to complete the diagnosis and treatment of a large left PHD with accompanying acute intestinal obstruction. The operation was successful and the patient was discharged from hospital 10 days later. PDH should be considered if a patient complains of recurrent abdominal pain without any other obvious explanation; a laparoscopic approach can be used to identify and repair the hernia.
摘要：
十二指肠旁疝（PDHs）是一种罕见的内部疝，具有重要的诊断和治疗挑战，因为它们可以表现出从消化系统疾病和慢性腹痛到可能危及生命的肠梗阻症状的非特异性症状。我们在这里描述了一名30岁出头的妇女，她到急诊科就诊，有三个小时的全身性间歇性痉挛腹痛史。在过去的20年里，她经历了多次类似的疼痛。完全腹腔镜技术用于完成合并急性肠梗阻的大型左PHD的诊断和治疗。手术成功，10天后患者出院。如果患者抱怨复发性腹痛而没有任何其他明显解释，则应考虑PDH；可以使用腹腔镜方法来识别和修复疝气。
