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Mesenteric defect with internal herniation in the pediatric emergency department: an unusual presentation of acute abdomen.

Abstract：

:Internal herniation is a rare cause of intestinal obstruction, especially in the emergency department. We report a child with acute abdomen resulting from transmesenteric internal herniation of the small bowel. Radiographic findings revealed gaseous distension of the bowel loops in the upper abdominal area with a paucity of gas in the lower abdomen. Operative finding showed gangrenous small bowel due to mesenteric defect with an internal herniation. The gangrenous bowel was resected and the patient was discharged with an uneventful outcome. We emphasize that early recognition of internal herniation warrants further evaluation and appropriate management.

journal_name

Pediatr Neonatol

journal_title

Pediatrics and neonatology

authors

Hu MH,Huang GS,Chen JC,Wu CT

doi

10.1016/j.pedneo.2012.12.008

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

145-9

issue

2

eissn

1875-9572

issn

2212-1692

pii

S1875-9572(12)00217-3

journal_volume

55

pub_type

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