Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
A case of intestinal obstruction due to a transomental hernia
Asami USUI, Masanori ICHINOSE, Hitoshi SHIMAO, Akihiko TAKEDA, Kimiaki FUKAZAWA, Hisahiro MATSUBARA
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2012 Volume 73 Issue 1 Pages 143-147

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Abstract
A rare case of intestinal obstruction due to a transomental hernia is described. A 40-year-old male was admitted to the hospital due to abdominal pain and vomiting. He had no prior history of surgery. An enhanced CT scan of the abdomen showed the small intestine herniated behind the stomach. A long tube was placed to treat the ileus, but it was unsuccessful, and an operation was performed. During surgery, a portion of the small intestine, the size of a golf ball, was found to be incarcerated in a hiatus of the greater omentum. The omental bursa was opened, and the incarcerated intestine was resected.
A transomental hernia is rare, but it must be considered as a possible cause of intestinal obstruction in patients with no history of surgery.
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© 2012 Japan Surgical Association
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