Laparoscopic treatment of pediatric paraduodenal hernia in Saudi Arabia
Background: Paraduodenal hernia (PDH) is considered the most common type of internal hernia. It accounts for 50% of the internal hernias, which occurs due to failure of the parietal peritoneum to fuse with part of the dorsal mesentery, causing a fossa in the mesocolon. PDH is a rare cause of intesti...
| Published in: | Journal of Pediatric Surgery Case Reports |
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| Main Authors: | , |
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-09-01
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| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576622002093 |
| Summary: | Background: Paraduodenal hernia (PDH) is considered the most common type of internal hernia. It accounts for 50% of the internal hernias, which occurs due to failure of the parietal peritoneum to fuse with part of the dorsal mesentery, causing a fossa in the mesocolon. PDH is a rare cause of intestinal obstruction with an unknown incidence in the pediatric population. Case presentation: We present a case of a seven-year-old female patient who presented with non-specific abdominal pain and progressive bilious vomiting for three days. The preoperative diagnosis of the left preduodenal hernia was achieved based on CT findings. The patient underwent laparoscopic repair using a conventional approach. Conclusion: Diagnosis of PDH in pediatric patients requires a high index of suspicion due to the broad spectrum of clinical presentation. Laparoscopic treatment seems to be an efficient and highly effective approach in uncomplicated PDH, resulting in a short length of stay and a fast return to the regular diet. |
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| ISSN: | 2213-5766 |