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CT findings in left paraduodenal herniae

D L Day1, D G Drake, A S Leonard

  • 1Department of Radiology, University of Minnesota Hospital and Clinics, Minneapolis.

Gastrointestinal Radiology
|January 1, 1988
PubMed

Insights

Computed tomography (CT) scans identified paraduodenal hernias in two children experiencing recurrent vomiting. These hernias caused mass effect on the stomach, indicating a potential cause for their symptoms.

Area of Science:

  • Pediatric Radiology
  • Gastrointestinal Surgery
  • Abdominal Imaging

Background:

  • Recurrent vomiting in children can stem from various gastrointestinal issues.
  • Paraduodenal hernias are rare congenital abnormalities that can cause bowel obstruction.
  • Computed tomography (CT) is a valuable tool for diagnosing complex abdominal pathologies in pediatric patients.

Observation:

  • Two pediatric patients presented with intermittent, recurrent vomiting.
  • Computed tomography (CT) was employed to investigate mass effect on the greater curvature of the stomach.
  • The imaging revealed small bowel positioned between the stomach and the pancreas in both cases.

Findings:

  • The CT findings were consistent with paraduodenal hernias in both children.
  • The interposed small bowel created a mass effect on the gastric greater curvature.
  • This anatomical anomaly was identified as the likely cause of the patients' symptoms.

Implications:

  • CT imaging is effective in diagnosing paraduodenal hernias causing gastric mass effect in children.
  • Early identification of such hernias can prevent complications associated with prolonged vomiting and potential obstruction.
  • This highlights the importance of considering rare congenital abnormalities in the differential diagnosis of pediatric vomiting.

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