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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
Summary
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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