HighlightsBowel obstruction happens to be the main presentation of most of the internal hernias.In its order of occourance transomental hernias are very uncommon and still are seen in present clinical practice mainly after bariatric surgery.We encountered a case of transomental hernia that caused subacute small bowel obstruction in a patient with no previous history of any abdominal operation, i.e. in a virgin abdomen.We would like to highlight the contribution of this case report to signify the presence of transomental hernias even in virgin abdomen unlike popular belief that it may occur in patients who may have undergone bariatric surgery, major liver surgery, etc.Whenever internal hernias are being considered as diagnosis the transomental hernias may also value consideration in a virgin abdomen.

No abstract

Highlights This is a case report of a young male diagnosed with Superior Mesenteric Artery syndrome during the period of fasting during Ramadan. The purpose of this report is to support physicians in a way of considering this as a differential when their patient presents similarly because it is not exclusive only to anorexic persons and can occur in a population that is fasting as well. The method of management was conservative and this clarifies that surgery does not necessarily have to be the first line treatment.