@entity2914 Causing XXXX and Abdominal Catastrophe.

@entity1 @entity390 @entity39 @entity1163 @entity3885 @entity2914 @entity490 @entity547 @entity2270
UNASSIGNED: @entity547 are the most common type of @entity2914 . Because of its overall rare incidence, this entity is often overlooked during initial assessment of the @entity1 . Lack of specific diagnostic criteria also makes diagnosis exceedingly difficult, and the resulting diagnostic delays can lead to tragic outcomes for @entity1 . Despite these perceived barriers to timely diagnosis, there may be specific radiographic findings that, when combined with the appropriate constellation of clinical symptoms, would aid in diagnosis. This @entity1 first presented at 8 years of age with vague symptoms of postprandial emesis, chronic @entity490 , @entity390 , and @entity1163 . Over the span of 6 years he was evaluated 2 to 3 times a year with similar complaints, all of which quickly resolved spontaneously. He underwent multiple laboratory, imaging, and endoscopic studies, which were nondiagnostic. It was not until he developed signs of a high-grade obstruction and extremis that he was found to have a large left paraduodenal hernia that had volvulized around the superior @entity2270 . This resulted in the loss of the entire superior @entity2270 distribution of the small and large intestine and @entity39 of the duodenum. In cases of chronic @entity3885 without clear etiology, careful attention and consideration should be given to the constellation of symptoms, imaging studies, and potential use of diagnostic laparoscopy. Increased vigilance by primary care and consulting physicians is necessary to detect this rare but readily correctable condition.
