J Korean Soc Emerg Med.  2016 Feb;27(1):139-142. 10.0000/jksem.2016.27.1.139.

Left Paraduodenal Hernia in a 3-year-child

• Na YH
• Cha SW
• Lee KH
• Namgoong M

• KMID: 2191648
• DOI: http://doi.org/10.0000/jksem.2016.27.1.139

Abstract

Internal hernia is an uncommon cause of intestinal obstruction, accounting for 1%. The most common cause of internal hernia is left paraduodenal hernia (PDH), which causes acute or recurrent abdominal pain. Due to its nonspecific symptoms, diagnosis of PDH by physical examination is difficult. PDH in children is rarely reported. A 3-year-old-child presented with acute abdominal pain associated with multiple episodes of vomiting. He came to the emergency room three times with abdominal pain. Left PDH was identified by computed tomography. He was taken to the operating room. However cardiac arrest occurred during anesthesia, and he expired. Due to the rarity of PDH in children, it is difficult to consider it as a cause of recurrent abdominal pain. Therefore, considering the possibility of PDH in children with acute or recurrent abdominal pain is recommended.

Keyword

Child; Abdominal hernia; Abdominal pain; Acute abdomen

MeSH Terms

Abdomen, Acute
Abdominal Pain
Anesthesia
Child
Diagnosis
Emergency Service, Hospital
Heart Arrest
Hernia*
Hernia, Abdominal
Humans
Intestinal Obstruction
Operating Rooms
Physical Examination
Vomiting