Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 26, 2022; 10(27): 9814-9820
Published online Sep 26, 2022. doi: 10.12998/wjcc.v10.i27.9814
Laparoscopic correction of hydronephrosis caused by left paraduodenal hernia in a child with cryptorchism: A case report
Xin Wang, Yong Wu, Yong Guan
Xin Wang, Yong Wu, Yong Guan, Department of Pediatric Surgery, Tianjin Children's Hospital, Tianjin 300014, China
Author contributions: Guan Y wrote this manuscript; Wang X analyzed the data; Wang X, Wu Y, and Guan Y took care of the patient and collected the data; all authors read and approved the final manuscript; Wang X and Guan Y contributed equally to this work.
Informed consent statement: Written informed consent was obtained from the patient's legal guardian for publication of this case report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yong Guan, MD, Chief Doctor, Department of Pediatric Surgery, Tianjin Children's Hospital, No. 238 LongYan Road, Tianjin 300134, China. guan_lab@126.com
Received: April 23, 2022
Peer-review started: April 23, 2022
First decision: June 16, 2022
Revised: July 3, 2022
Accepted: August 15, 2022
Article in press: August 15, 2022
Published online: September 26, 2022
Abstract
BACKGROUND

Paraduodenal hernia (PDH) is a mesenteric-parietal hernia with retroperitoneal and retrocolic herniation of the small bowel into a sac, which is formed by a peritoneal fold located near the fourth portion of the duodenum. The present case revealed that PDH was a possible reason for hydronephrosis, and that the carful laparoscopic exploration surgery was necessary to find infrequent causes of hydronephrosis to avoid invalid Anderson–Hynes pyeloplasty surgery and its injury.

CASE SUMMARY

An 8-year-old boy presented to the pediatric department with a chief complaint of cryptorchidism. Afterwards, laparoscopy confirmed hydronephrosis secondary to left PDH with cryptorchid. Then, he received laparoscopic surgery, fixed operation for left PDH, release of the ureteropelvic junction obstruction, and treatment for hydronephrosis. It is necessary to perform secondary surgery for cryptorchidism and long-term follow-up.

CONCLUSION

The case revealed an extremely rare cause of hydronephrosis in children, suggesting a potential correlation between PDH and hydronephrosis.

Keywords: Paraduodenal hernia, Hydronephrosis, Cryptorchidism, Laparoscopic surgery, Case report

Core Tip: Paraduodenal hernia (PDH) is a kind of mesenteric-parietal hernia accompanied by retroperitoneal and retrocolic hernia. The small intestine hernia enters the sac, which is formed by peritoneal folds located near the fourth part of the duodenum. The present case revealed that PDH was a possible reason for hydronephrosis, and that the carful laparoscopic exploration surgery was necessary to find infrequent causes of hydronephrosis to avoid invalid Anderson-Hynes pyeloplasty surgery and its injury.