Internal herniation presented with life threatening small bowel strangulation in the pediatric emergency department: Case report
Abdullah Mohammed Kamel, Abdullah Y Akkam, Luai Abdulkhaleq Albakkour, Dareen Jalal Tarim, Amirh Ayman Zamzami
Context. Internal hernias (HIs) are characterized by the protrusion of a viscus or a solid organ, partially or entirely through a peritoneal, mesenteric, omental, or diaphragmatic aperture. An internal herniation is a rare cause of intestinal obstruction, especially in the emergency department. It has been demonstrated that they often remain undiagnosed before emergency laparotomy since the symptoms of internal hernia may be nonspecific. Ranging from mild abdominal pain to sudden onset intestinal obstruction. Objective. We report a case of a five years old boy with internal hernia presenting as life-threatening extensive small bowel strangulation. Patient. Thepatient is a five years old boy, previously healthy, was presented to our emergency department, with an 18 hours history of abdominal pain and vomiting. The pain was sudden and diffuse, with repeated vomiting. Upon arrival at the emergency patient was lethargic, had decreased Glasgow Coma Scale (GCS), delayed capillary refill, had cold extremities, was hypotensive, and was severely dehydrated. The abdomen was tense, with tenderness all over the abdomen. Conclusions. The internal hernia in a pediatric patient is rare but should be included in the differential diagnosis of small bowel obstruction. A high index of clinical suspicion and early intervention saves the patient from extensive bowel resection and other serious complications.
Abdullah Mohammed Kamel, Abdullah Y Akkam, Luai Abdulkhaleq Albakkour, Dareen Jalal Tarim, Amirh Ayman Zamzami. Internal herniation presented with life threatening small bowel strangulation in the pediatric emergency department: Case report. International Journal of Medical and Health Research, Volume 8, Issue 5, 2022, Pages 24-26