Spontaneous Transomental Hernia

다국어 초록 (Multilingual Abstract)

A transomental hernia through the greater or lesser omentum is rare, accounting for approximately 4% of internal hernias. Transomental hernias are generally reported in patients aged over fifty. In such instances, acquired transomental hernias are usual, are commonly iatrogenic, and result from surgical interventions or from trauma or peritoneal inflammation. In rare cases, such as the one described in this study, internal hernias through the greater or lesser omentum occur spontaneously as the result of senile atrophy without history of surgery, trauma, or inflammation. A transomental hernia has a high postoperative mortality rate of 30%, and emergency diagnosis and treatment are critical. We report a case of a spontaneous transomental hernia of the small intestine causing intestinal obstruction. An internal hernia with strangulation of the small bowel in the lesser sac was suspected from the image study. After an emergency laparotomy, a transomental hernia was diagnosed.

참고문헌 (Reference)

1 Hull JD 3rd, "Transomental hernia" 42 : 278-284, 1976

2 Ghahremani GG, "Textbook of gastrointestinal radiology" Saunders 1993-2009, 2000

3 Delabrousse E, "Strangulated transomental hernia: CT findings" 26 : 86-88, 2001

4 Guinier D, "Strangulated lesser sac hernia" 149 : e221-e222, 2012

5 Yang DH, "Spontaneous internal herniation through the greater omentum" 34 : 731-733, 2009

6 Martin LC, "Review of internal hernias : radiographic and clinical findings" 186 : 703-717, 2006

7 Stewart JO, "Lesser sac hernia" 50 : 321-326, 1962

8 Blachar A, "Internal hernia : an increasingly common cause of small bowel obstruction" 23 : 174-183, 2002

9 Ghahremani GG, "Internal abdominal hernias" 64 : 393-406, 1984

10 Meyers MA, "Dynamic radiology of the abdomen: normal and pathologic anatomy" Springer-Verlag 1994

11 Newsom BD, "Congenital and acquired internal hernias : unusual causes of small bowel obstruction" 152 : 279-285, 1986

12 Chou CK, "Combined transmesocolic-transomental internal hernia" 184 : 1532-1534, 2005

13 Camera L, "A spontaneous strangulated transomental hernia: prospective and retrospective multi-detector computed tomography findings" 6 : 26-30, 2014

14 Yamaguchi T, "A case of incarceration of sigmoid colon into hiatus of greater omentum" 33 : 1041-1045, 1978