Radiographic Features of a Strangulated Transomental Hernia.

Cureus

General Surgery, Bay Pines VA Health Care system, St. Petersburg, USA.

Published: June 2024

AI Article Synopsis

  • An 82-year-old man experienced severe abdominal pain and a CT scan showed a closed loop obstruction in his right abdomen.
  • Surgery revealed a gangrenous section of the ileum caused by a transomental hernia, leading to the resection of the nonviable bowel segment.
  • Prompt correlation of clinical symptoms with imaging results is crucial to quickly address bowel obstructions and avoid serious complications like bowel ischemia.

Article Abstract

This is a case report of an 82-year-old male who presented with intractable and diffuse abdominal pain and had a computed tomography (CT) abdomen showing a closed loop obstruction in the right hemiabdomen with anteromedial displacement of the cecum and ascending colon. Exploratory laparotomy revealed a gangrenous segment of the ileum strangulated by a transomental hernia in the right lower quadrant. The nonviable bowel was resected, and the healthy bowel segments were anastomosed. It is important to correlate the clinical signs of bowel obstruction with radiographic findings of internal hernia to expedite surgical intervention and prevent complications of bowel ischemia.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11251898PMC
http://dx.doi.org/10.7759/cureus.62484DOI Listing

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Radiographic Features of a Strangulated Transomental Hernia.

Cureus

June 2024

General Surgery, Bay Pines VA Health Care system, St. Petersburg, USA.

Article Synopsis
  • An 82-year-old man experienced severe abdominal pain and a CT scan showed a closed loop obstruction in his right abdomen.
  • Surgery revealed a gangrenous section of the ileum caused by a transomental hernia, leading to the resection of the nonviable bowel segment.
  • Prompt correlation of clinical symptoms with imaging results is crucial to quickly address bowel obstructions and avoid serious complications like bowel ischemia.
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Don't be thrown for a loop: a review of internal hernias for the abdominal imager.

Abdom Radiol (NY)

November 2024

The Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, 601 N Wolfe St, Baltimore, MD, 21287, USA.

Internal hernias are herniations of abdominal viscera, usually small bowel, through congenital or acquired openings of the peritoneum or mesentery. Congenital hernias may involve anatomic fossae such as the epiploic foramen as well as those related to abnormal peritoneal or mesenteric defects; these include left and right paraduodenal, transomental, transmesenteric, pericecal and broad ligament hernias. Acquired hernias are due to defects in the mesentery or peritoneum, usually resulting from prior surgeries, and include those associated with Roux-en-Y surgery as well as colorectal cancer resections.

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A 66-year-old female without prior history of abdominal surgery visited the emergency department with a complain of sudden intensive lower abdominal pain. Closed loop bowel obstruction was discovered on contrast-enhanced computed tomography, leading to a laparoscopic examination of 5 h after the onset. During laparoscopy, 100 cm of distal jejunum with borderline viability was found incarcerated in a gap of the greater omentum.

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