TY - JOUR AU - Pulcrano, Marisa E. AU - Vu, Lan AU - Lin, Matthew C. PY - 2019 TI - A balancing act: obstruction following laparoscopic closure of a congenital paraduodenal hernia JF - Laparoscopic Surgery; Vol 3 (August 2019): Laparoscopic Surgery Y2 - 2019 KW - N2 - Left paraduodenal hernias are congenital internal hernias caused by the failure of the mesenteric and parietal peritoneum fusion with midgut malrotation. We present a case of a 22-year-old woman who presented with acute abdominal pain and was found to have a left paraduodenal hernia on CT. She underwent a laparoscopic reduction and primary repair of the defect. She presented two weeks later with acute abdominal pain and emesis and was taken emergently to the operating room after a CT showed a high-grade obstruction at the site of the prior hernia defect. In a laparoscopic converted to open exploration, several of the prior hernia closure’s sutures were removed and the bowel was released. This case highlights the importance of a perfect hernia closure, tight enough to prevent a recurrence but not too tight to cause an obstruction. UR - https://ls.amegroups.org/article/view/5278