Internal Hernia as a Cause of Acute Abdomen in a Pediatric Patient
Autor: | Aiman Sajjad, Vignesh Sankar, Francis Amador |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Internal hernia
medicine.medical_specialty appendicitis strangulated internal hernia mesenteric internal hernia medicine.medical_treatment Perforation (oil well) Physical examination 030204 cardiovascular system & hematology Anastomosis Pediatrics 03 medical and health sciences 0302 clinical medicine Pediatric Surgery small bowel ischemia Laparotomy medicine medicine.diagnostic_test business.industry short bowel General Engineering pediatric emergency department medicine.disease Appendicitis Surgery medicine.anatomical_structure Acute abdomen small bowel obstruction small bowel resection Emergency Medicine pediatric laparoscopic surgery coffee-ground emesis Abdomen medicine.symptom business 030217 neurology & neurosurgery |
Zdroj: | Cureus |
ISSN: | 2168-8184 |
Popis: | An acute abdomen is a complex case with multiple possible etiologies and requires the help of many different disciplines. We present the case of a two-year-old female who presented to the emergency department in acute distress, pale in complexion, and continuously guarding her abdomen. Physical examination revealed a distended, rigid abdomen with tenderness to palpation of the abdomen in all four quadrants. A computed tomography scan illustrated markedly dilated loops of small bowel but unclear etiology of obstruction with no evidence of perforation. Stat diagnostic laparotomy showed a strangulated internal hernia secondary to a congenital mesenteric defect. The mesenteric defect was repaired laparoscopically, and 25 cm of necrotic bowel was resected with an end-to-end anastomosis. Internal hernias secondary to mesenteric defects are the most common forms of internal hernias in pediatric patients and present with a 100% mortality rate if left untreated. This case illustrates the importance of a high index of suspicion, thorough physical examination, prompt diagnosis, and treatment in preventing a fatal outcome in these patients. |
Databáze: | OpenAIRE |
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