Two acute pediatric abdominal catastrophes from strangulated left paraduodenal hernias

Jay Pershad, Gary T. Simmons, Dai Chung, Tim Frye, Marisa B. Marques

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


We present two cases of catastrophic intestinal obstruction from to strangulation of a left paraduodenal hernia (PDH). PDH is the most common internal hernia. Early diagnosis and treatment are essential because of the high morbidity and mortality associated with strangulation. Early involvement of the surgical team without an overly extensive evaluation in the emergency department is important if this diagnostic suspicion exists. PDH should also be considered when there is a history of chronic, intermittent abdominal pain of unclear cause. To our knowledge, these cases are the first described cases of sudden demise within a few hours of onset of symptoms of a left PDH.

Original languageEnglish (US)
Pages (from-to)347-349
Number of pages3
JournalPediatric emergency care
Issue number5
StatePublished - Oct 1998
Externally publishedYes


  • Left paraduodenal hernia
  • Strangulation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine


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