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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
Summary
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.
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