Abdominal Imaging

, 34:731 | Cite as

Spontaneous internal herniation through the greater omentum

  • Deng-Ho Yang
  • Wei-Chou Chang
  • Wu-Hsien Kuo
  • Wen-Hsiu Hsu
  • Chun-Yuh Teng
  • Yang-Guo FanEmail author


Internal hernia is an unusual cause of intestinal obstruction, and the through sites of hernias may include the paraduodenum, transmesenteric region, foramen of Winslow, paracecum, the broad ligament of the uterus, and the transomental region. Transomental hernia is the rarest type of internal hernia and accounts for fewer than 1% of internal hernias. Transmesenteric and transomental hernias are different from the other types of internal hernia, and usually present acute intestinal obstruction with strangulation of the small bowel. We report a 74-year-old male with initial manifestation of peritonitis. Internal hernia-induced intestinal obstruction with strangulation was highly suspected from the image study. After an urgent exploratory laparotomy, transomental hernia was diagnosed.


Internal hernia Transomental hernia Intestinal obstruction 


  1. 1.
    Blachar A, Federle MP (2002) Internal hernia: an increasingly common cause of small bowel obstruction. Semin Ultrasound CT MR 23:174–183CrossRefPubMedGoogle Scholar
  2. 2.
    Newsom BD, Kukora JS (1986) Congenital and acquired internal hernias: unusual causes of small bowel obstruction. Am J Surg 152:279–285CrossRefPubMedGoogle Scholar
  3. 3.
    Armstrong O, Hamel A, Grignon B, et al (2007) Internal hernias: anatomical basis and clinical relevance. Surg Radiol Anat 29:333–337CrossRefPubMedGoogle Scholar
  4. 4.
    Khan MA, Lo AY, Vande Maele DM (1998) Paraduodenal hernia. Am Surg 64:1218–1222PubMedGoogle Scholar
  5. 5.
    Hull JD 3rd (1976) Transomental hernia. Am Surg 42:278–284PubMedGoogle Scholar
  6. 6.
    Delabrousse E, Couvreur M, Saguet O, Heyd B, Brunelle S, Kastler B (2001) Strangulated transomental hernia: CT findings. Abdom Imaging 26:86–88CrossRefPubMedGoogle Scholar
  7. 7.
    Watt PC (1983) Transomental hernia causing intestinal obstruction in an elderly patient. Postgrad Med J 59:790CrossRefPubMedGoogle Scholar
  8. 8.
    Takagi Y, Yasuda K, Nakada T, Abe T, Matsuura H, Saji S (1996) A case of strangulated transomental hernia diagnosed preoperatively. Am J Gastroenterol. 91:1659–1660PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Deng-Ho Yang
    • 1
    • 2
  • Wei-Chou Chang
    • 3
  • Wu-Hsien Kuo
    • 1
  • Wen-Hsiu Hsu
    • 1
  • Chun-Yuh Teng
    • 1
  • Yang-Guo Fan
    • 4
    Email author
  1. 1.Division of Gastroenterology, Department of Internal MedicineArmed-Forces Taichung General HospitalTaichungTaiwan, Republic of China
  2. 2.Department of Internal Medicine, Tri-Service General HospitalNational Defense Medical CenterTaipeiTaiwan, Republic of China
  3. 3.Department of Radiology, Tri-Service General HospitalNational Defense Medical CenterTaipeiTaiwan, Republic of China
  4. 4.Division of General Surgery, Department of SurgeryArmed-Forces Taichung General HospitalTaichungTaiwan, Republic of China

Personalised recommendations