Strangulated transomental hernia: case report and literature review

Abstract

Internal hernias are a rare cause of acute intestinal obstruction and are defined as an incarceration of the small bowel through a natural or abnormal intra-abdominal orifice. Transomental internal hernias represent 1 to 4% of all reported internal hernias and are generally observed after the age of 50years old. Imaging is still of interest in the diagnosis of obstruction, but only 8% of transomental hernias would be diagnosed pre-operatively. Their surgical management is done urgently, either by laparotomy or by laparoscopy. We report a case of a patient with an occlusive syndrome and whose diagnosis of a strangulated transomental hernia was per operative.