A Case of Strangulated Obstruction Caused by Transomental Herniation

Abstract

A 52-year-old man who presented with abdominal pain of sudden onset was diagnosed as having strangulated obstruction and referred to our department. He had no previous history of abdominal surgery or trauma. We diagnosed the patient as having strangulated obstruction caused by internal herniation, and performed emergency laparotomy. At laparotomy, a strangulated ischemic segment of the small intestine measuring about 90 cm in length was found to have herniated through a hiatus in the great omentum. As the color tone of the intestinal wall improved when the hiatus was opened, small bowel resection was not performed. The patient was discharged on the 15th postoperative day.