Journal of the Japanese Society of Pediatric Surgeons
Online ISSN : 2187-4247
Print ISSN : 0288-609X
ISSN-L : 0288-609X
Case Reports
Pediatric Left Paraduodenal Hernia With Mesocolon Transversum Adhesion: Report of a Case
Takato AikohNaoki HashizumeSuguru FukahoriShinji IshiiNobuyuki SaikusaDaisuke MasuiNaruki HigashidateSaki SakamotoYoshiaki TanakaMinoru Yagi
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2020 Volume 56 Issue 6 Pages 944-948

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Abstract

We present the case of an 11-year-old girl who was admitted to our hospital with the complaint of abdominal pain and vomiting. Abdominal CT scan disclosed accumulated small intestine with converging mesenteric hernia. She was treated because no recognizable ischemic changes were seen in the small intestine. On laparotomy, adhesion of small intestine was found to be located in the fossa of the transverse mesocolon. However, after 5 days of the first surgery, she had tenderness in the upper abdomen and vomiting. Laparotomy was performed again because of the ischemic changes of the small intestine. It showed that the jejunum was included into the hernia sac on just the left side of the ligament of Treitz. Finally, left paraduodenal hernia was diagnosed. The incarcerated jejunum showed no ischemic change. After repositioning of the jejunum, the hernia orifice was closed with interrupted sutures avoiding mesenterial ischemia. This case suggests that recurrent abdominal complaints of uncertain origin might be caused by paraduodenal hernia.

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© 2020 The Japanese Society of Pediatric Surgeons

この記事はクリエイティブ・コモンズ [表示 - 非営利 - 継承 4.0 国際]ライセンスの下に提供されています。
https://creativecommons.org/licenses/by-nc-sa/4.0/deed.ja
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