Congenital internal hernia presented with life threatening extensive small bowel strangulation.
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 strangulated small bowel. To prevent the delay in the diagnosis of IH, we should early use of the CT scan and take urgent operation.
Department of Pediatrics, Pusan National University Yangsan Hospital, Yangsan, Korea.
Narae
N
Lee
Su-Gon
SG
Kim
Yeoun Joo
YJ
Lee
Jae-Hong
JH
Park
Seung-Kook
SK
Son
Soo-Hong
SH
Kim
Jae-Yeon
JY
Hwang
Child; Hernia; Intestinal obstruction