Laparoscopic Surgery for Transomental Hernia Preoperatively Diagnosed as an Internal Hernia—A Case Report—

Abstract

A 32-year-old man presented to the emergency department with complaints of acute onset epigastric pain and nausea. Abdominal computed tomography (CT) showed displacement of dilated and fluid-filled small intestine into the omental bursa. The patient was diagnosed as having small intestinal strangulation due to an internal hernia, and emergency laparoscopic surgery was performed. Laparoscopy showed herniated small intestine through the defect of the greater omentum into the omental bursa. After reduction of the small intestinal strangulation, the omental defect was repaired. No intestinal resection was needed. The patient's postoperative course was uneventful, and the patient was discharged on the 5th postoperative day. Multidetector CT (MD-CT) is useful for the preoperative diagnosis of a transomental hernia, though it remains difficult. Laparoscopic surgery is thought to be very effective for the treatment of transomental hernia.