Left Paraduodenal Hernia in a 3-year-child.
- Author:
Young Hyun NA
1
;
Seung Whan CHA
;
Kang Hyun LEE
;
Mee Kyung NAMGOONG
Author Information
1. Department of Pediatrics, Yonsei Wonju Severance Christian Hospital, Wonju, Korea. ngmk@yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Child;
Abdominal hernia;
Abdominal pain;
Acute abdomen
- MeSH:
Abdomen, Acute;
Abdominal Pain;
Anesthesia;
Child;
Diagnosis;
Emergency Service, Hospital;
Heart Arrest;
Hernia*;
Hernia, Abdominal;
Humans;
Intestinal Obstruction;
Operating Rooms;
Physical Examination;
Vomiting
- From:Journal of the Korean Society of Emergency Medicine
2016;27(1):139-142
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Internal hernia is an uncommon cause of intestinal obstruction, accounting for 1%. The most common cause of internal hernia is left paraduodenal hernia (PDH), which causes acute or recurrent abdominal pain. Due to its nonspecific symptoms, diagnosis of PDH by physical examination is difficult. PDH in children is rarely reported. A 3-year-old-child presented with acute abdominal pain associated with multiple episodes of vomiting. He came to the emergency room three times with abdominal pain. Left PDH was identified by computed tomography. He was taken to the operating room. However cardiac arrest occurred during anesthesia, and he expired. Due to the rarity of PDH in children, it is difficult to consider it as a cause of recurrent abdominal pain. Therefore, considering the possibility of PDH in children with acute or recurrent abdominal pain is recommended.
