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Unusual etiology for upper gastrointestinal bleeding in a previously healthy child
Journal article   Open access   Peer reviewed

Unusual etiology for upper gastrointestinal bleeding in a previously healthy child

Madhuradhar Chegondi, Tara Loux, Balagangadhar R. Totapally and Cathy A. Burnweit
Journal of pediatric surgery case reports, Vol.3(5), pp.182-184
05/2015
DOI: 10.1016/j.epsc.2015.03.004
url
https://doi.org/10.1016/j.epsc.2015.03.004View
Published (Version of record) Open Access

Abstract

Paraduodenal hernia (PDH) is the most common congenital internal hernia and rarely presents in pediatric age group with acute abdominal symptoms. We report a six year old boy who has recurrent vague abdominal pain, vomiting for six months and massive upper GI bleed at admission, found to have left sided PDH and small bowel ischemia intraoperatively and underwent small bowel resection and PDH repair. He was discharged from hospital on day 6 postoperative day after uneventful course. •Paraduodenal hernia (PDH) is the most common form of congenital internal hernia.•Consider in cases with chronic, intermittent abdominal pain of unknown etiology.•PDH is difficult to diagnose preoperatively, requires high index of suspicion.•Diagnostic yield is high if CT imaging done during an acute episode.•Immediate evaluation and surgical intervention is critical for good outcome.
 Children Paraduodenal hernia Upper GI bleed

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