More than just gastritis: An unusual presentation of strangulated transmesenteric hernia in a pediatric patient

Internal hernias are a rare occurrence, reported in only 0.2 –0.9% of the general population, and predominantly occur in adult patients as postsurgical complications. However, internal hernias can occur in pediatric patients, typically due to herniation of bowel through congenital mesenteric defects, and are associated with high rates of strangulation or vo lvulus (up to 30–40%) in this population. These can be especially difficult to detect due to nonspecific symptoms and rarity, but carry a steep mortality rate of 45% if treated and virtually 100% if missed.
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research