Strangulation ileus resulting from encasement of a loop of the small intestine by the great omentum, caused by abnormal adhesion

Abstract

We treated a patient with a mechanical ileus resulting from encasement of a loop of the small intestine by the great omentum, caused by abnormal adhesion. Apart from its occurrence postoperatively with laparotomy, strangulation of small intestine into the omentum is very rare, and its occurrence without underlying disease, except in children, has not been documented previously.

A Case of Trans-Omental Hernia: An Incarcerated Bowel Condition Detected by Computed Tomography

“…Although the preoperative CT demonstrated ischemia in the bowel, the transomental internal hernia was not clearly detected. The typical findings of trans-omental hernia on CT include bowel deviation between the stomach and the liver or sac-like encapsulation of the upper abdomen [1,3]. In the current case, the jejunum was in the gastro-omental space.…”

“…Transomental hernias, which constitute only 1-4% of all internal hernias [1], are infrequently diagnosed preoperatively. Recently computed tomography (CT) has been performed in patients suspected of having a bowel obstruction or bowel ischemia [2,3]. A rare case of transomental hernia associated with obstruction due to strangulated bowel is presented.…”

Reduction of adhesion formation and promotion of wound healing after laminectomy by pharmacological inhibition of pro-inflammatory cytokines: an experimental study in the rat

“…However, in many cases during wound healing the newly formed connective tissues (scar tissue) may interfere negatively with the normal function of the healing tissues. Following abdominal and gynecologic surgery it is not uncommon that the surgical procedure per se may induce adhesions that may both make later surgery more difficult and even induce pathological conditions such as ileus or infertility [6][7][8]. Spinal surgery may often result in a dense scar formation called epidural fibrosis.…”