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Related Concept Videos

Hiatal Hernia01:25

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...

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Mesocolic hernia, a case series.

Sayed Khedr1, Sarah Magdy Abdelmohsen2, Osama Abdelazim1

  • 1Lecturer of Pediatric Surgery at Cairo University Children Hospital, Cairo University, Egypt.

International Journal of Surgery Case Reports
|May 7, 2024
PubMed
Summary

Paraduodenal hernias (PDH) are rare congenital abdominal wall defects often associated with intestinal malrotation. Surgical repair is essential for these hernias once diagnosed.

Keywords:
BASM syndromeExtrahepatic biliary atresiaInternal herniaIntestinal obstructionMeckel's diverticulumParaduodenal herniaSingle atrium

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Abnormalities

Background:

  • Paraduodenal hernias (PDH) present unusually, making diagnosis challenging.
  • PDH are frequently associated with congenital intestinal malrotation.

Purpose of the Study:

  • To report five new cases of paraduodenal hernias.
  • To highlight the association between PDH and intestinal malrotation.
  • To emphasize the importance of surgical intervention for PDH.

Main Methods:

  • Retrospective case series of five pediatric patients with PDH.
  • Surgical intervention included exploratory laparotomy, intestinal reduction, reorientation, and hernia orifice repair.
  • Detailed review of patient demographics, hernia characteristics, and associated anomalies.

Main Results:

  • Five pediatric cases of PDH (3 left-sided, 2 right-sided) were analyzed.
  • Four patients presented with concurrent intestinal malrotation.
  • One patient had Meckel's diverticulum, and another had complex congenital anomalies including biliary and cardiac defects.

Conclusions:

  • A strong correlation exists between paraduodenal hernias and intestinal malrotation.
  • While ultrasound can suggest malrotation, definitive diagnosis often requires surgical exploration.
  • Surgical repair by closing the defect is mandatory for mesocolic hernias.