A spontaneous transomental hernia through the greater omentum

Tidjane, Anisse; Tabeti, Benali; Serradj, Nabil Boudjenan; Djellouli, Abdessamed; Benmaarouf, Noureddine

doi:10.11604/pamj.2015.20.384.6432

Cited by 4 publications

(6 citation statements)

References 6 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: 87%

“…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]. Recently, several studies have reported the usefulness of CT, especially multi-detector row CT, for the preoperative diagnosis of TOH [2,9,[12][13][14].…”

Section: Discussionmentioning

confidence: 98%

“…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: 90%

“…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: 87%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 90%

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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Geriatric spontaneous trans-mesenteric herniation leading to death. Case report

Shabhay,

Mwami

et al. 2024

International Journal of Surgery Case Reports

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Laparoscopic surgery for two patients with strangulated transomental hernias

et al. 2020

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Background: Transomental hernias are a rare type of internal hernia. We report two cases of successful cases of laparoscopic repair. One required laparotomy due to concern for intestinal viability. Case presentation: The first patient was a 67-year-old man who presented with abdominal pain and vomiting. He had no history of laparotomy or abdominal injury. Computed tomography suggested small bowel obstruction and possible intestinal strangulation. Emergent laparoscopy found approximately 200 cm of small bowel was strangulated around the greater omentum. The strangulation was released laparoscopically, but because of the color of the strangulated bowel, laparotomy was performed to evaluate viability. The involved portion of intestine was not resected. The patient experienced transient postoperative paralytic ileus and was discharged on postoperative day 14. The second patient was a 56-year-old man who presented with abdominal pain. Abdominal computed tomography revealed dilatation of the small intestine and a closed loop suggesting ileus due to intestinal strangulation. An emergency laparoscopy found a transomental hernia, and the strangulation was released laparoscopically. Recovery was uneventful, and the patient was discharged on postoperative day 6. Conclusion: Transomental hernia can be successfully treated laparoscopically. In cases where bowel viability is a concern, laparotomy should not be hesitated.

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A spontaneous transomental hernia through the greater omentum

Cited by 4 publications

References 6 publications

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

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

Geriatric spontaneous trans-mesenteric herniation leading to death. Case report

Laparoscopic surgery for two patients with strangulated transomental hernias

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