2020 Volume 56 Issue 6 Pages 944-948
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.