Paraduodenal hernias in children: Etiology, treatment, and outcomes of a rare but real cause of bowel obstruction

Abukhalaf, Sadi A.; Mustafa, None Aya; Elqadi, Mohammad N.; Hammouri, Ahmad Al; Abuzaina, Khalil; Abukarsh, Radwan; Ghazzawi, Ihsan; Hassan, Shareef; Novotny, Nathan M.

doi:10.1016/j.ijscr.2019.10.001

Cited by 6 publications

(14 citation statements)

References 10 publications

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“…1 Paraduodenal hernias rarely cause intestinal obstruction. 2 A right paraduodenal hernia is congenital and occurs when the small bowel herniates through a defect in the first portion of the jejunal mesentery (Figure 1). A left paraduodenal hernia is a congenital defect, where the small bowel loops prolapse through and into the left portion of the transverse mesocolon (Figure 2).…”

Section: Introductionmentioning

confidence: 99%

“…4 It is very rare for patients to be diagnosed preoperatively, however, diagnosis can be done with ultrasound and abdominal CT. Due to the risk of bowel obstruction, the mortality and morbidity rates associated with a paraduodenal hernia are high. 2 Treatment associated with this hernia include exploratory laparotomy, repair and reduction of hernia, and laparoscopic repair of the hernia. 5 Here we present the case of a 5-year-old female found to have a fatal bowel obstruction due to a paraduodenal hernia.…”

Section: Introductionmentioning

confidence: 99%

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Fatal Bowel Obstruction Due to Paraduodenal Hernia: A Case Report

AlSafadi

Smyk

2023

Pediatr Dev Pathol

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A paraduodenal hernia is a rare type of hernia, however it is the most common type of internal hernias. It can develop after surgery, trauma, or be congenital. Paraduodenal hernias are rare in children. Clinical presentation is nonspecific. Patients range from being asymptomatic to presenting with clinical symptoms associated with small bowel obstructions. Diagnostic tools such as X-ray, plain abdominal radiography, and computed tomography may be used to diagnose paraduodenal hernias. Described is the case of a 5-year-old female who died suddenly of a bowel obstruction due to a paraduodenal hernia found at postmortem examination. In the hours prior to death, she reported stomach pain, vomiting, and later developed a fever. Postmortem CT study showed free fluid in the abdomen and bowel distention. Internal examination showed an obstructed bowel with ischemic sections extending from the distal portions of the small bowel up to the proximal portions of the transverse colon. The ischemic portions were entrapped within a clear membranous sac within the abdominal cavity. The sac was concluded to be a paraduodenal hernia. Paraduodenal hernias are rare and difficult to diagnose but they must be considered in the diagnostic process, as without surgical intervention the mortality rate can be high.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Fatal Bowel Obstruction Due to Paraduodenal Hernia: A Case Report

AlSafadi

Smyk

2023

Pediatr Dev Pathol

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“…A child presenting with acute abdominal pain, distension, vomiting and constipation must be suspected of having intestinal obstruction 4 .…”

Section: Introductionmentioning

confidence: 99%

“…Common etiological causes of intestinal obstruction include adhesions, obstructed hernias, intussusception especially in infants, volvulus and round worms most common in older children 5 . Intestinal obstruction is a life threatening emergency if not diagnosed and treated in time, causes compromise of blood supply to the intestines leading to necrosis, gut perforation and eventually sepsis and death of the patient.…”

Section: Introductionmentioning

confidence: 99%

Frequency of Various Etiological Causes of Intestinal Obstruction in Children

Farooq¹,

Malik²,

Hayat³

et al. 2022

PJMHS

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Aim: To determine the frequency of causes of intestinal obstruction among children. Study design: This is a cross sectional study. Place and duration of study: This study was conducted in Allama Iqbal Memorial Teaching Hospital Sialkot. Study was completed in six months duration from January 2022 to June 2022. Methodology: Children with age <12 years admitted in the department of pediatrics and undergoing exploratory laparotomy for intestinal obstruction and fulfilling inclusion criteria were included in this study. On exploratory laparotomy causes of intestinal obstruction were noted like adhesions, intussusceptions, round worms and obstructed hernia. Collected data was analyzed using SPSS version 20 software. Percentages, means and standard deviations were determined. Results: Total 170 cases were studied including 107(62.9%) males and 63(37.1%) females. Range of the ages was one month to 12 years with mean age of 4.37±2.6 years. Most common cause of intestinal; obstruction was adhesions followed by intussusception found in 71(41.7%) and 55(32.3%) cases respectively. Conclusion: Frequency of etiological causes of intestinal obstruction varies in different age groups in children, however adhesions are most common cause of intestinal obstruction in children, while intussusception is second most common cause. Key words: Intestinal obstruction, Adhesion, Intussusception, Etiological causes, Children

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“…A left PDH results from failure of the mesocolon to fuse with the parietal peritoneum, and a right PDH occurs from incomplete rotation of the midgut. The resultant paraduodenal fossa allows small intestinal herniation with possible bowel entrapment and ischemia ( 3 , 4 ).…”

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confidence: 99%