Small Bowel Obstruction Caused by Spontaneous Transomental Hernia: A Case Report.

Korean J Gastroenterol

Digestive Disease Research Institute, Wonkwang University School of Medicine, Iksan, Korea.

Published: October 2022

An internal hernia is a protrusion of visceral contents through a defect in the mesentery or peritoneum. Small bowel obstruction is a common clinical presentation of internal hernias, accounting for 4.1% of all intestinal obstructions. Transomental hernia is a rare type of internal hernia (1-4% of internal hernias), with non-specific symptoms, making its preoperative diagnosis difficult. It is strangulated more frequently, and the postoperative mortality rate is high (30%). Therefore, early diagnosis and management are crucial. We report a case of a 77-year-old female who presented with small bowel obstruction, and a suspected incarcerated internal hernia on abdomen-pelvis CT. A spontaneous transomental hernia was confirmed on emergency laparotomy.

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http://dx.doi.org/10.4166/kjg.2022.065DOI Listing

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