Congenital Internal Hernia Presented with Life Threatening Extensive Small Bowel Strangulation
이나래, 김수곤, 이연주, 박재홍, 손승국, 김수홍, 황재연,
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이나래 ( Lee Na-Rae )
Pusan National University Yangsan Hospital Department of Pediatrics
김수곤 ( Kim Su-Gon )
Pusan National University Yangsan Hospital Department of Pediatrics
이연주 ( Lee Yeoun-Joo )
Pusan National University Yangsan Hospital Department of Pediatrics
박재홍 ( Park Jae-Hong )
Pusan National University Yangsan Hospital Department of Pediatrics
손승국 ( Son Seung-Kook )
Pusan National University Yangsan Hospital Department of Pediatrics
김수홍 ( Kim Soo-Hong )
Pusan National University Yangsan Hospital Department of Surgery
황재연 ( Hwang Jae-Yeon )
Pusan National University Yangsan Hospital Department of Radiology
KMID : 0816120130160030190
Abstract
Internal hernia (IH) is a rare cause of small bowel obstruction occurs when there is protrusion of an internal organ into a retroperitoneal fossa or a foramen in the abdominal cavity. IH can be presented with acute or chronic abdominal symptom and discovered by accident in operation field. However, various kinds of imaging modalities often do not provide the assistance to diagnose IH preoperatively, but computed tomography (CT) scan has a high diagnostic accuracy. We report a case of congenital IH in a 6-year-old boy who experienced life threatening shock. CT scan showed large amount of ascites, bowel wall thickening with poor or absent enhancement of the strangulated bowel segment. Surgical exploration was performed immediately and had to undergo over two meters excision of strangu-lated small bowel. To prevent the delay in the diagnosis of IH, we should early use of the CT scan and take urgent operation.
키워드
Intestinal obstruction;Hernia;Child
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