Akutes Abdomen durch paraduodenale Hernie

Abstract

Internal hernias are rarely diagnosed. Most of the times they are found at laparotomy when complications and their symptoms (for instance palpable tumour, abdominal pain, vomiting and ileus) require surgical treatment. We present a case of an eleven-year-old boy who was admitted to our hospital because of acute abdominal pain. Appendectomy brought only temporary relief of pain. Subsequent laparotomy yielded the diagnosis of left-sided paraduodenal hernia.

Internal Abdominal Hernias in Childhood

“…Moore (12) describes an internal hernia with intestinal obstruction following an antenatal meconium peritonitis. In older children, left‐ (13) or right‐sided paraduodenal hernias (14), hernias associated with Meckel's diverticulum (15), and cecal hernias (16) are described. One complication of internal hernias can be gastrointestinal hemorrhage in childhood (17).…”