Abstract
An 80-year-old woman with an epigastric mass note 1 or 2 years previously and admitted for epigastric pain was found to have a 10×10×6cm soft elastic mass palpated in the upper abdomen. No operative scar was seen computed tomograply (CT) showed a defect of the linea alba and protrusion of the transverse colon. Laparotomy done under a diagnosis of epigastric hernia revealed a hernia of the transverse colon and omentum without necrotic change, so we reduced the colon and closed the hernia after excising the sac. The postoperative course was uneventful and no signs of recurrence have been noted in lyear 11 months. We review 62 cumulative cases reported in the Japanese literature.
