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Computed tomography diagnosis of symptomatic right paraduodenal hernia associated with enteric duplication cyst

Marcos Prada-Arias1, L Sanchís-Solera, V Pérez-Candela

  • 1Pediatric Surgery Service, University Hospital Insular-Materno Infantil, Las Palmas de Gran Canaria, 35016 Las Palmas, Spain. marcosprada@hotmail.com

Journal of Pediatric Surgery
|November 21, 2007
PubMed

Insights

Right paraduodenal hernias are rare in children and can cause intestinal issues. This case highlights a unique association with an enteric duplication cyst, emphasizing the need for advanced imaging like computed tomography for diagnosis.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Radiology
  • Congenital Abnormalities

Background:

  • Paraduodenal hernias are uncommon congenital abdominal wall defects.
  • Symptomatic presentation in pediatric populations is rare.
  • Early and accurate diagnosis is crucial for effective management.

Observation:

  • A 9-month-old infant presented with symptoms of intestinal subocclusion.
  • The condition was associated with a right paraduodenal hernia and an enteric duplication cyst.
  • Contrast-enhanced computed tomography (CT) was instrumental in identifying the hernia.

Findings:

  • This case represents the first reported instance of a paraduodenal hernia co-occurring with an enteric duplication cyst in the English literature.
  • The combined pathology led to significant intestinal compromise requiring diagnosis.
  • Abdominal CT demonstrated high specificity for preoperative diagnosis of paraduodenal hernias.

Implications:

  • A high index of suspicion is necessary for diagnosing paraduodenal hernias in pediatric patients.
  • Computed tomography is the gold standard for preoperative imaging of these rare hernias.
  • This unique association broadens the understanding of congenital gastrointestinal anomalies.

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