Ann Coloproctol.  2016 Feb;32(1):38-41. 10.3393/ac.2016.32.1.38.

Spontaneous Transomental Hernia

Affiliations
  • 1Department of Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea. gscrslsh@hanmail.net

Abstract

A transomental hernia through the greater or lesser omentum is rare, accounting for approximately 4% of internal hernias. Transomental hernias are generally reported in patients aged over fifty. In such instances, acquired transomental hernias are usual, are commonly iatrogenic, and result from surgical interventions or from trauma or peritoneal inflammation. In rare cases, such as the one described in this study, internal hernias through the greater or lesser omentum occur spontaneously as the result of senile atrophy without history of surgery, trauma, or inflammation. A transomental hernia has a high postoperative mortality rate of 30%, and emergency diagnosis and treatment are critical. We report a case of a spontaneous transomental hernia of the small intestine causing intestinal obstruction. An internal hernia with strangulation of the small bowel in the lesser sac was suspected from the image study. After an emergency laparotomy, a transomental hernia was diagnosed.

Keyword

Omentum; Intestinal obstruction; Hernia

MeSH Terms

Atrophy
Diagnosis
Emergencies
Hernia*
Humans
Inflammation
Intestinal Obstruction
Intestine, Small
Laparotomy
Mortality
Omentum
Peritoneal Cavity
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