Abstract
Transepiploic hernia is rare, making it difficult to diagnose preoperatively. This disease often requires emergency surgery due to strangulation of the ileus. We experienced six surgical cases of transepiploic hernia, 4 males and 2 females, whose ages of patients ranged from 41 to 85 years. The patients’body mass index ranged from 18.8 to 27.6. Three cases were diagnosed preoperatively with abdominal CT, so emergency surgeries were carried out with laparoscopy. Five cases were type A and one case was type C0. In four cases, the incarcerated intestine had become necrotic and resection of the intestine became necessary. In the treatment of patients with an intestinal obstruction who have not previously undergone a laparotomy, internal hernias including the transepiploic hernia must be kept in mind. It is important for early diagnosis to confirm the anatomic relations of the organs. Additionally, the laparoscopic procedure appears to be a superior method for both diagnosis and treatment in those cases in which transepiploic hernia is suspected.
