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Journal of The Korean Society of Emergency Medicine 2016;27(1): 139-142. |
| 3세에서 발생한 왼쪽 십이지장옆탈장 |
| 나영현1, 차승환2, 이강현3, 남궁미경1 |
1연세대학교 원주의대 소아청소년과
2연세대학교 원주의대 영상의학과
3연세대학교 원주의대 응급의학과 |
| Left Paraduodenal Hernia in a 3-year-child |
| Young Hyun Na1, Seung Whan Cha2, Kang Hyun Lee3, Mee Kyung Namgoong1 |
1Department of Pediatrics, Yonsei Wonju Severance Christian Hospital, Wonju, Korea
2Department of Radiology, Yonsei Wonju Severance Christian Hospital, Wonju, Korea
3Department of Emergency Medicine, Yonsei Wonju Severance Christian Hospital, Wonju, Korea |
| Correspondence |
Mee Kyung Namgoong ,Tel: 033) 741-0114, Fax: 033) 741-1160, Email: ngmk@yonsei.ac.kr,
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Received: October 19, 2015; Revised: October 20, 2015 Accepted: November 8, 2015. Published online: February 29, 2016. |
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| ABSTRACT |
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Internal hernia is an uncommon cause of intestinal obstruction, accounting for 1%. The most common cause of internal hernia is left paraduodenal hernia (PDH), which causes acute or recurrent abdominal pain. Due to its nonspecific symptoms, diagnosis of PDH by physical examination is difficult. PDH in children is rarely reported. A 3-year-old-child presented with acute abdominal pain associated with multiple episodes of vomiting. He came to the emergency room three times with abdominal pain. Left PDH was identified by computed tomography. He was taken to the operating room. However cardiac arrest occurred during anesthesia, and he expired. Due to the rarity of PDH in children, it is difficult to consider it as a cause of recurrent abdominal pain. Therefore, considering the possibility of PDH in children with acute or recurrent abdominal pain is recommended. |
| Key words:
Child, Abdominal hernia, Abdominal pain, Acute abdomen |
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