A spontaneous strangulated transomental hernia: Prospective and retrospective multi-detector computed tomography findings

Camera, Luigi

doi:10.4329/wjr.v6.i2.26

Cited by 15 publications

(31 citation statements)

References 15 publications

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“…Therefore, for the treatment of TOH, emergency surgery must be attempted as soon as possible. However, the preoperative diagnosis of TOH is difficult because clinical manifestations are nonspecific, as compared with other causes or types of strangulated SBO [3][4][5][6]11]. As a result, precise diagnosis in most TOH cases, as in our case, is made during emergency surgery for strangulated SBO [3][4][5][6].…”

Section: Discussionmentioning

confidence: 92%

“…Thus, TOH is a rare entity among various causes of SBO. In children with TOH, the omental defect is usually a congenital anomaly caused by embryonic developmental failure [2,3]. In contrast, most of the omental defects in adult TOH cases are acquired because of a previous intra-abdominal event [2][3][4][5][6].…”

Section: Discussionmentioning

confidence: 99%

“…In children with TOH, the omental defect is usually a congenital anomaly caused by embryonic developmental failure [2,3]. In contrast, most of the omental defects in adult TOH cases are acquired because of a previous intra-abdominal event [2][3][4][5][6]. In a few adult TOH cases, however, the defect might be created because of senile atrophy and/or weakness of the omentum without a predisposing history, as in our patient, and these cases are referred to as "spontaneous" TOH [2][3][4][5].…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of TOH is rare, accounting for only 1-4% of total internal hernia cases [1], and most of the omental defects are acquired because of a previous intraabdominal event, such as abdominal surgery, trauma, or intraabdominal inflammation [2][3][4][5][6]. Here, we report a rare case of spontaneous TOH that presented 42 hour after successful manual repositioning of an incarcerated inguinal hernia.…”

Section: Introductionmentioning

confidence: 96%

“…Transomental hernia (TOH) is a rare type of internal hernia, in which a loop of the small bowel herniates through an abnormal defect in the omentum, resulting in strangulation of the herniated bowel, with significant morbidity and mortality [1][2][3][4][5][6]. The incidence of TOH is rare, accounting for only 1-4% of total internal hernia cases [1], and most of the omental defects are acquired because of a previous intraabdominal event, such as abdominal surgery, trauma, or intraabdominal inflammation [2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous Transomental Hernia Combined with Incarcerated Inguinal Hernia: A Case Report

Ohtsuka¹,

Takahara²

2017

J Gastrointest Dig Syst

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An 85-year-old woman was admitted to our hospital because of appetite loss and vomiting. She had no previous history of abdominal surgery, trauma, or intra-abdominal inflammation. Following the diagnosis of a small bowel obstruction due to an incarcerated left inguinal hernia, manual hernia repositioning was attempted, and proceeded smoothly. However, 42 hour after the procedure, she suddenly developed abdominal pain without recurrence of the incarcerated inguinal hernia. Abdominal computed tomography revealed signs of small bowel strangulation; therefore, emergency surgery was performed 48 hour after admission. On laparotomy, a defect was found in the greater omentum, and a part of the ileum was incarcerated by the defect. The operative diagnosis was spontaneous transomental hernia. Incision of the greater omentum was performed, and no ischemic changes were observed in the ileum; therefore, bowel resection was not performed, and the left inguinal hernia orifice was repaired. The postoperative course was uneventful. The transomental hernia in our case might have been induced because of the incarcerated inguinal hernia. For patients plagued with persistent small bowel obstruction after successful manual repositioning of an incarcerated inguinal hernia, concurrent internal hernia should be considered as a possible cause of the persistent small bowel obstruction.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Spontaneous Transomental Hernia Combined with Incarcerated Inguinal Hernia: A Case Report

Ohtsuka¹,

Takahara²

2017

J Gastrointest Dig Syst

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Displacement of the transverse colon is a highly specific computed tomography finding for the preoperative diagnosis of a transomental hernia

et al. 2019

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Transomental hernia – An enigmatic case report causing bowel obstruction in a virgin abdomen

Buainain¹,

Kaundinya²,

Hammed³

2020

International Journal of Surgery Case Reports

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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.

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A spontaneous strangulated transomental hernia: Prospective and retrospective multi-detector computed tomography findings

Cited by 15 publications

References 15 publications

Spontaneous Transomental Hernia Combined with Incarcerated Inguinal Hernia: A Case Report

Spontaneous Transomental Hernia Combined with Incarcerated Inguinal Hernia: A Case Report

Displacement of the transverse colon is a highly specific computed tomography finding for the preoperative diagnosis of a transomental hernia

Transomental hernia – An enigmatic case report causing bowel obstruction in a virgin abdomen

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