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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
Summary
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.