TITLE:
Congenital Left Mesenteric-Parietal Hernia Associated to a Small Bowel Volvulus: About a Case
AUTHORS:
Coulibaly Yacaria, Doumbia Aliou, Amadou Issa, Coulibaly Oumar Moussa, Kamaté Benoi, Djiré Mohamed Kassoum, Tanapo Kalifa
KEYWORDS:
Mesenterico-Parietal Hernia, Small Bowel Volvulus, Child, Mali
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.10 No.3,
July
15,
2020
ABSTRACT: Introduction: 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. Observation: 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. Conclusion: 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.