Abstract
A rare case of transepiploic hernia is presented, together with a brief review of the literature. A female, aged 86 years, was admitted with a 24-hr history of an increasing severe right lower quadrant pain accompanied by nausea and vomiting. The abdomen was distended and abnormal masses with generalized tenderness were present. White blood cell count was 14300/mm3. Abdominal plain film showed dilated loops of the intestine and a soft-tissue mass. A diagnosis of strangulated intestinal obstruction was made and a laparotomy was carried out. The greater omentum was not free but attached to the bilateral sides of the abdominal cavity and colon. One hundred and twenty cm of small gut had prolapsed through a hole in the omentum and was gangrenous due to constriction at the neck. The affected bowel was resected (25% resection), and the hole in the omentum was closed. The patient made an uneventful revovery following operation. A review of the Japanese literature revealed only 15 recorded cases of omental hernia, and one further case is considered worthy of report.
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