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Spontaneous internal herniation through the greater omentum

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Abstract

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.

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Authors and Affiliations

  1. Division of Gastroenterology, Department of Internal Medicine, Armed-Forces Taichung General Hospital, Taichung, Taiwan, Republic of China

    Deng-Ho Yang, Wu-Hsien Kuo, Wen-Hsiu Hsu & Chun-Yuh Teng

  2. Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China

    Deng-Ho Yang

  3. Department of Radiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China

    Wei-Chou Chang

  4. Division of General Surgery, Department of Surgery, Armed-Forces Taichung General Hospital, No. 348, Sec. 2, Chung Shan Road, Taiping 411, Taichung, Taiwan, Republic of China

    Yang-Guo Fan

Authors
  1. Deng-Ho Yang
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  2. Wei-Chou Chang
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  3. Wu-Hsien Kuo
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  4. Wen-Hsiu Hsu
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  5. Chun-Yuh Teng
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  6. Yang-Guo Fan
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Correspondence to Yang-Guo Fan.

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Yang, DH., Chang, WC., Kuo, WH. et al. Spontaneous internal herniation through the greater omentum. Abdom Imaging 34, 731–733 (2009). https://doi.org/10.1007/s00261-008-9458-7

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  • DOI: https://doi.org/10.1007/s00261-008-9458-7

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