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September 15, 1923


Author Affiliations

Fellow in Surgery, the Mayo Foundation ROCHESTER, MINN.

JAMA. 1923;81(11):907-912. doi:10.1001/jama.1923.02650110037011

Examples are recorded in the literature of passage of the intestines through the foramen of Winslow, through the mesenteries, under the cecum, into the intersigmoid fossa and other peritoneal pockets, notably those about the duodenojejunal flexure. The last named constitute the so-called paraduodenal hernias, of which there are two types: left and right. Approximately 100 cases of left paraduodenal hernias have been recorded, and in a thorough search of the literature I have found twenty-eight of the right. The following case is an example of the latter:

REPORT OF A CASE  The hernia, unsuspected in life, was found at necropsy in a man, aged 55, on whom a diagnosis of general carcinomatosis had been made during an exploratory laparotomy. He had complained for many years of a slight feeling of discomfort in the right lower abdominal region after meals. Two months before his death, he began having dull, aching pains