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Lesser omental hernia without intestinal gangrene – Case report
INTRODUCTION: There are several types of internal hernia. Herniation through the defect in the lesser omentum is extremely rare. Symptoms of this type of hernias may vary a lot and diagnosis is difficult. In this case report a young adult with nonspecific symptoms is diagnosed with an intestinal her...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9284043/ https://www.ncbi.nlm.nih.gov/pubmed/35780645 http://dx.doi.org/10.1016/j.ijscr.2022.107361 |
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author | Ugianskis, Arnas |
author_facet | Ugianskis, Arnas |
author_sort | Ugianskis, Arnas |
collection | PubMed |
description | INTRODUCTION: There are several types of internal hernia. Herniation through the defect in the lesser omentum is extremely rare. Symptoms of this type of hernias may vary a lot and diagnosis is difficult. In this case report a young adult with nonspecific symptoms is diagnosed with an intestinal herniation through the defect in the lesser omentum. CASE PRESENTATION: A 35-year-old man with the history of laparoscopic colectomy presented with abdominal pain but no symptoms of peritonitis or acute bowel obstruction. Abdominal computed tomography (CT) revealed displacement of mesenteric vessels, small intestine and stomach. Intestinal herniation through the lesser omentum was suspected. Laparoscopic reposition of small intestine was performed. The greater curvature of the stomach was sutured to the transverse mesocolon to prevent recurrence of hernia. DISCUSSION: Previous surgery, low body mass index (BMI), absence of adhesions may predispose the lesser omental hernia. Herniating of intestines through the large openings may occur without presence of acute obstruction or gangrene. CT is helpful in making a correct diagnosis. CONCLUSION: When evaluating the patient with abdominal pain, internal hernia should be considered. CT modalities may aid in the detection of these rare hernias and ensure timely treatment. Perioperative inspection and repair of the hepatogastric ligament may help to prevent lesser omental hernias. |
format | Online Article Text |
id | pubmed-9284043 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-92840432022-07-16 Lesser omental hernia without intestinal gangrene – Case report Ugianskis, Arnas Int J Surg Case Rep Case Report INTRODUCTION: There are several types of internal hernia. Herniation through the defect in the lesser omentum is extremely rare. Symptoms of this type of hernias may vary a lot and diagnosis is difficult. In this case report a young adult with nonspecific symptoms is diagnosed with an intestinal herniation through the defect in the lesser omentum. CASE PRESENTATION: A 35-year-old man with the history of laparoscopic colectomy presented with abdominal pain but no symptoms of peritonitis or acute bowel obstruction. Abdominal computed tomography (CT) revealed displacement of mesenteric vessels, small intestine and stomach. Intestinal herniation through the lesser omentum was suspected. Laparoscopic reposition of small intestine was performed. The greater curvature of the stomach was sutured to the transverse mesocolon to prevent recurrence of hernia. DISCUSSION: Previous surgery, low body mass index (BMI), absence of adhesions may predispose the lesser omental hernia. Herniating of intestines through the large openings may occur without presence of acute obstruction or gangrene. CT is helpful in making a correct diagnosis. CONCLUSION: When evaluating the patient with abdominal pain, internal hernia should be considered. CT modalities may aid in the detection of these rare hernias and ensure timely treatment. Perioperative inspection and repair of the hepatogastric ligament may help to prevent lesser omental hernias. Elsevier 2022-06-27 /pmc/articles/PMC9284043/ /pubmed/35780645 http://dx.doi.org/10.1016/j.ijscr.2022.107361 Text en © 2022 The Author https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Ugianskis, Arnas Lesser omental hernia without intestinal gangrene – Case report |
title | Lesser omental hernia without intestinal gangrene – Case report |
title_full | Lesser omental hernia without intestinal gangrene – Case report |
title_fullStr | Lesser omental hernia without intestinal gangrene – Case report |
title_full_unstemmed | Lesser omental hernia without intestinal gangrene – Case report |
title_short | Lesser omental hernia without intestinal gangrene – Case report |
title_sort | lesser omental hernia without intestinal gangrene – case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9284043/ https://www.ncbi.nlm.nih.gov/pubmed/35780645 http://dx.doi.org/10.1016/j.ijscr.2022.107361 |
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