2018 Volume 38 Issue 4 Pages 787-791
A 42-year-old woman with complaints of abdominal pain and vomiting had visited a hospital previous to our seeing her. Conservative treatment was performed under the diagnosis of mesenteric fat inflammation and intestinal obstruction. However, she showed no improvement and thus was transferred to our hospital. We decided to perform surgery under the diagnosis of intestinal obstruction due to poor fixation and torsion of the intestinal tract, based on the findings from the abdominal computed tomography after hospitalization. We found the intestinal tract from the origin of the jejunum to the sigmoid colon was engaged with a transomental hernia in the background, without total mesenteric fixation to the retroperitoneum from the cecum to the descending colon. The obstruction was released, and the omentum associated with the hernia was resected. As this is the first case report of a mesenterium commune concomitant with intestinal obstruction due to a transomental hernia, we report on the case with a review of the pertinent literature.
