A medical team at Dr. Sulaiman Al-Habib Hospital in Al-Rayyan, Saudi Arabia, conducted a successful laparoscopic operation, which ended the suffering of a twenty-year-old girl with a rare hernia between the aorta and the vena cava, which resulted in severe symptoms that persisted for more than ten years, and caused her to be transferred to emergency departments repeatedly during Those long years.
Surgeon Elias Fouad Al-Khoury, a general surgery consultant and head of the treating medical team, said, “The girl came to the hospital complaining of severe abdominal pain, and although she went to several hospitals, the doctors there were satisfied with preventive treatment for symptoms, due to their lack of access.” to a proper diagnosis of the condition.
Dr. Al-Khoury added: “The patient, upon her arrival at the hospital, had a CT scan of her abdomen, and it was found that there was a knot with the possibility of ischemia in the small intestine, so an exploratory laparoscopic surgery was immediately performed, which showed the presence of a rare and strange internal hernia called paraduodenal hernia, and there is about a third of it inside it.” The upper intestine is compressed.
And he continued: “The medical team decided to complete the surgical work through the advanced laparoscopic technique, without resorting to traditional laparotomy, despite the difficulty of the surgery, and the number of laparoscopic openings increased from three to four, and the thin intestine was released from pressure and returned to its normal place, and the hernia was treated and restored.” It was restored, despite the seriousness of its location, which was in the middle of the main arteries of the body. The efforts of the medical team were crowned with success, and the patient was transferred to the hospitalization room, and her health began to improve immediately after the operation. She underwent a CT scan, the results of which confirmed her complete recovery, and she left the hospital after a short period of hypnosis. The severe symptoms she had been suffering from for a decade were gone.”
Al-Khoury described the operation, which lasted for about two hours, as “it was large and complex, due to the difficulty of diagnosing such cases, in addition to the scarcity of hernia and its presence in a sensitive area, which made it more difficult to repair it using laparoscopy,” explaining that “the operation spared the patient many health complications.” The most prominent of which is body poisoning due to suffocation of the intestines, and she also ended her suffering with pain and her constant visits to hospitals.
It should be noted that Dr. Al-Khoury is considered a high-level medical figure. During his work in Lebanon, he performed several qualitative and advanced surgeries, most notably the whipple and the removal of the esophagus by laparoscopic surgery.
