Transomental hernia – An enigmatic case report causing bowel obstruction in a virgin abdomen

INTRODUCTION: Transomental hernias are very uncommon form of internal hernias. Occasionally they may be seen in present clinical practice after bariatric surgery. Yet, this type of internal hernia remains mostly incidental and enigmatic in its presentation. CLINICAL FINDINGS: We present a case of transomental hernia that caused subacute small bowel obstruction in a patient with no past history of any surgical procedure, i.e. in a virgin abdomen. DIAGNOSIS AND THERAPEUTIC INTERVENTION: CT Scan of the abdomen revealed the presence of transomental hernia and it was addressed by laparoscopic surgery and an uneventful postoperative outcome. CONCLUSION: Transomental Hernias can be present in virgin abdomen also. Its presence should be considered in all suspicions of internal hernia occurrence even though they are commonly known to be associated with bariatric surgery, liver surgery, etc.