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[Congenital trans-mesenteric hernia with incarceration in a five-year-old boy]

Sophie Bjørnstrup Kristiansen1, Pia Hedegaard Johnsen, Thorbjørn Sommer

  • 1Organkirurgisk Afdeling, Regionshospitalet Randers, Skovlyvej 1, 8930 Randers. piajohns@rm.dk.

Ugeskrift for Laeger
|December 16, 2014
PubMed

Insights

A rare internal hernia caused a gastrointestinal emergency in a child, mimicking appendicitis. Prompt surgical intervention involving bowel resection and anastomosis led to an uneventful recovery, highlighting the importance of considering hernias in acute abdominal cases.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Surgical Case Reports

Background:

  • Appendicitis is a common cause of acute abdomen in children.
  • Internal hernias are a rare but critical differential diagnosis in pediatric acute abdomen.
  • Prompt diagnosis and surgical management are crucial for favorable outcomes.

Observation:

  • A five-year-old boy presented with symptoms suggestive of appendicitis.
  • Diagnostic laparoscopy revealed an incarcerated internal hernia.
  • Fifty centimeters of small bowel were found to be ischemic due to the hernia.

Findings:

  • Surgical resection of the ischemic small bowel was performed.
  • A primary anastomosis was successfully completed.
  • The patient experienced an uneventful post-operative recovery.

Implications:

  • Internal hernias should be considered in the differential diagnosis of pediatric acute abdomen.
  • Early recognition and surgical intervention for internal hernias can prevent significant morbidity.
  • This case underscores the importance of a broad diagnostic approach in pediatric surgical emergencies.

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