Congenital trans-mesenteric hernia with incarceration in a five-year-old boy

This is a case report of a five-year-old boy, presenting with abdominal pain and signs of gastrointestinal emergency imitating appendicitis. Diagnostic laparoscopy revealed an incarcerated internal hernia involving 50 cm of ischaemic small bowel. Bowel resection and primary anastomosis was performed...

Full description

Saved in:
Bibliographic Details
Published inUgeskrift for læger Vol. 176; no. 50
Main Authors Kristiansen, Sophie Bjørnstrup, Johnsen, Pia Hedegaard, Sommer, Thorbjørn
Format Journal Article
LanguageDanish
Published Denmark 08.12.2014
Subjects
Appendicitis - diagnosis
Child, Preschool
Diagnosis, Differential
Hernia, Abdominal - complications
Hernia, Abdominal - congenital
Hernia, Abdominal - diagnosis
Hernia, Abdominal - surgery
Humans
Intestinal Obstruction - etiology
Intestine, Small - abnormalities
Intestine, Small - pathology
Intestine, Small - surgery
Male
Mesentery - abnormalities
Mesentery - surgery
Online AccessGet more information

Cover

More Information
Summary:This is a case report of a five-year-old boy, presenting with abdominal pain and signs of gastrointestinal emergency imitating appendicitis. Diagnostic laparoscopy revealed an incarcerated internal hernia involving 50 cm of ischaemic small bowel. Bowel resection and primary anastomosis was performed. The post-operative outcome was uneventful. We wish to shed light on a seldom but important differential diagnosis to appendicitis in children, and raise attention to internal hernias in patients presenting with acute abdomen, whether it is due to congenital defects or a post-operative complication.
ISSN:1603-6824