A case of transomental hernia treated by lparoscopic surgery

Abstract

An 88-year-old woman had been admitted with a fracture of the right thigh bone. She complained of abdominal pain on the night of POD 10. Her symptoms then worsened. The next day abdominal computed tomography (CT) showed dislocation of the small intestine into the omental bursa with ascites. The diagnosis was strangulated ileus due to a transomental hernia. The same day she was treated by emergent laparoscopic surgery. The strangulated small intestinal loop had prolapsed into the omental bursa through the omental orifice. It was revealed that strangulated ileus hael been caused by the transomental hernia. The intestinal loop was repositioned without resection of the small intestine and the omental hiatus was repaired by laparoscopic surgery. Laparoscopy is very useful for clarifying the true cause and, moreover, the treatment of internal hernias.