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[Internal hernias strangulated in mesenteric openings in young children]

A E Solovyov1, O A Kulchitsky1, L F Pritulo1

  • 1Pavlov Ryazan State Medical University, Ryazan, Russia.

Khirurgiia
|November 25, 2024
PubMed

Insights

Internal hernias strangulated in mesenteric openings are difficult to diagnose in young children. Timely surgical intervention is crucial for a positive prognosis in these rare cases.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Internal hernias, particularly those strangulated in mesenteric openings, are rare in pediatric populations.
  • Mesenteric defects can lead to intestinal obstruction and strangulation, posing a significant diagnostic challenge in infants and young children.

Purpose of the Study:

  • To investigate the clinical presentation, diagnostic methods, and treatment outcomes for internal hernias strangulated in mesenteric openings in young children.
  • To highlight the difficulties in diagnosing these conditions due to non-specific symptoms in the pediatric age group.

Main Methods:

  • Retrospective analysis of 5 pediatric cases (under 3 years old) with intestinal strangulation in mesenteric openings.
  • Inclusion of data from patient history, physical examination, ultrasound, laboratory tests, X-rays, and morphological studies.
  • Detailed description of three representative patient cases.

Main Results:

  • Four cases involved small intestine strangulation within jejunal mesenteric openings, and one case occurred in the mesentery of the vermiform process.
  • Two patients who underwent timely surgery had favorable outcomes.
  • Two patients died due to delayed diagnosis of acute intestinal obstruction.
  • One newborn with strangulation in the mesentery of the vermiform process recovered after surgical intervention.

Conclusions:

  • Diagnosing internal hernias strangulated in mesenteric openings in young children is challenging due to non-specific clinical signs.
  • Early diagnosis and prompt surgical intervention are critical factors influencing the prognosis in pediatric patients with internal hernias.
Abstract

Keywords:
bowel infringementchildrenobstruction

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