Introduction: An internal hernia is the herniation of an intestinal segment into an intra-peritoneal fossa, is an uncommon cause for intestinal obstruction and is difficult to diagnose preoperatively.
Presentation Of Case: We report a male patient 19 years old presenting with acute abdomen due to a strangulated Waldayer's hernia.
Discussion: The paraduodenal hernias are more common in males (M:F ratio 3:1). The average age at diagnosis is 38.5 years clinically presenting with chronic intermittent post-parandial abdominal pain. An accurate incidence of paraduodenal hernias in infancy and childhood is unknown, but is quite rare.
Conclusion: Internal complicated hernias are difficult to diagnose and once discovered intra-operative anatomical variations are present with special attribution to the management of the hernia sac.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3421143 | PMC |
| http://dx.doi.org/10.1016/j.ijscr.2012.06.007 | DOI Listing |
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