Congenital Left Mesenteric-Parietal Hernia Associated to a Small Bowel Volvulus: About a Case  

作　　者：Coulibaly Yacaria Doumbia Aliou Amadou Issa Coulibaly Oumar Moussa Kamaté Benoi Djiré Mohamed Kassoum Tanapo Kalifa Coulibaly Yacaria;Doumbia Aliou;Amadou Issa;Coulibaly Oumar Moussa;Kamaté Benoi;Djiré Mohamed Kassoum;Tanapo Kalifa(Service of Pediatric Surgery, Teaching Hospital Gabriel Toure, Bamako, Mali)

机构地区：[1]Service of Pediatric Surgery, Teaching Hospital Gabriel Toure, Bamako, Mali

出　　处：《Open Journal of Pediatrics》2020年第3期404-410,共7页儿科学期刊（英文）

摘　　要：<strong>Introduction:</strong> <span style="font-family:""><span style="font-family:Verdana;">The left mesenterico-parietal hernia or left paraduodenal hernia is an anomaly of intestinal rotation which may be responsible for intestinal obstruction. It is rare. </span><b><span style="font-family:Verdana;">Observation: </span></b><span style="font-family:Verdana;">A 5-year-old boy was admitted for abdominal pain with episodes of vomiting and cessation of matters and gases. After clinical and paraclinical investigations, the diagnosis of occlusion was accepted and the child was operated. Exploration revealed a mesenterico-parietal hernia with a retrocolic sac measuring 11 cm of collar and a deep of 18 cm containing a twisted bowel. After reduction of the content, we untwisted the small intestine and released adhesions. The hernial sac was partially resected and the defect was closed. Operating outcomes were simple. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> The mesenterico-parietal hernia is a cause of organic intestinal obstruction. Although of congenital origin, it can have a late clinical manifestation. It should be considered in case of episodes of repetitive abdominal pain and vomiting to avoid complications.</span></span><strong>Introduction:</strong> <span style="font-family:""><span style="font-family:Verdana;">The left mesenterico-parietal hernia or left paraduodenal hernia is an anomaly of intestinal rotation which may be responsible for intestinal obstruction. It is rare. </span><b><span style="font-family:Verdana;">Observation: </span></b><span style="font-family:Verdana;">A 5-year-old boy was admitted for abdominal pain with episodes of vomiting and cessation of matters and gases. After clinical and paraclinical investigations, the diagnosis of occlusion was accepted and the child was operated. Exploration revealed a mesenterico-parietal hernia with a retrocolic sac measuring 11 cm of collar and a deep of 18 cm containing a twisted bowel. After reduction of the content, we untwisted the small intestine and released adhesions. The hernial sac was partially resected and the defect was closed. Operating outcomes were simple. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> The mesenterico-parietal hernia is a cause of organic intestinal obstruction. Although of congenital origin, it can have a late clinical manifestation. It should be considered in case of episodes of repetitive abdominal pain and vomiting to avoid complications.</span></span>

关 键 词：Mesenterico-Parietal Hernia Small Bowel Volvulus Child MALI 

分 类 号：R57[医药卫生—消化系统]