Successful Treatment of Left Inguinal Hernia with Omental Torsion Using Laparoscopic Omental Resection and Hernia Repair via a Transabdominal Preperitoneal Approach

Abstract

A 38-year-old woman was admitted to our hospital with left-sided abdominal pain. Laboratory examination revealed elevated levels of inflammatory markers. Abdominal computed tomography (CT) revealed the whirl sign, suggesting omental torsion; the twisted omentum was found to have. We made the diagnosis of omental torsion caused by left inguinal hernia. The laparoscopic findings revealed omental torsion with necrosis and adhesion of the peripheral omentum to the left inguinal ring. Laparoscopic omentectomy with inguinal hernia repair via a transabdominal preperitoneal approach (TAPP) was performed as a one-stage procedure. The postoperative course was uneventful and the patient was discharged without any complications. In conclusion, laparoscopic omentectomy with TAPP as a one-stage procedure was an effective treatment for omental torsion with inguinal hernia.