Document Detail

Two acute pediatric abdominal catastrophes from strangulated left paraduodenal hernias.
MedLine Citation:
PMID:  9814403     Owner:  NLM     Status:  MEDLINE    
We present two cases of catastrophic intestinal obstruction from to strangulation of a left paraduodenal hernia (PDH). PDH is the most common internal hernia. Early diagnosis and treatment are essential because of the high morbidity and mortality associated with strangulation. Early involvement of the surgical team without an overly extensive evaluation in the emergency department is important if this diagnostic suspicion exists. PDH should also be considered when there is a history of chronic, intermittent abdominal pain of unclear cause. To our knowledge, these cases are the first described cases of sudden demise within a few hours of onset of symptoms of a left PDH.
J Pershad; G T Simmons; D Chung; T Frye; M B Marques
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric emergency care     Volume:  14     ISSN:  0749-5161     ISO Abbreviation:  Pediatr Emerg Care     Publication Date:  1998 Oct 
Date Detail:
Created Date:  1999-01-08     Completed Date:  1999-01-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8507560     Medline TA:  Pediatr Emerg Care     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  347-9     Citation Subset:  IM    
Division of Emergency Medicine, The Children's Hospital of Alabama, USA.
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MeSH Terms
Abdomen, Acute / etiology*
Abdominal Pain / etiology
Child, Preschool
Death, Sudden, Cardiac / etiology*
Diseases in Twins
Duodenal Diseases / complications*,  congenital,  diagnosis
Hernia / complications,  congenital,  diagnosis
Intestinal Obstruction / complications,  etiology*

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