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A Spontaneous Transomental Hernia: A Rare Cause of Bowel Obstruction

Internal hernias (IH) are rare situations that account for 0.5–3% of all cases of intestinal obstruction. Transomental hernia is a rare subtype, hardly diagnosed, and represents approximately only 2% of internal hernias. In 2018, a 41-year-old female patient presented to Marmara University Hospital...

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Detalles Bibliográficos
Autores principales: Ergenç, Muhammer, Uprak, Tevfik Kıvılcım
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Tehran University of Medical Sciences 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9941434/
https://www.ncbi.nlm.nih.gov/pubmed/36824238
http://dx.doi.org/10.18502/ijph.v52i1.11683
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author Ergenç, Muhammer
Uprak, Tevfik Kıvılcım
author_facet Ergenç, Muhammer
Uprak, Tevfik Kıvılcım
author_sort Ergenç, Muhammer
collection PubMed
description Internal hernias (IH) are rare situations that account for 0.5–3% of all cases of intestinal obstruction. Transomental hernia is a rare subtype, hardly diagnosed, and represents approximately only 2% of internal hernias. In 2018, a 41-year-old female patient presented to Marmara University Hospital emergency service with abdominal pain, nausea, and vomiting. Her medical history included asthma, and she had no abdominal surgery. With the preliminary diagnosis of small bowel obstruction, laparotomy was done and showed a loop of ileum was herniated through into an unusual defect of the omentum. The obstructed loop of the small intestine into the hernia site was reduced. It was seen as viable, so no resection was necessitated. We divided the greater omentum into two parts from the edge of the defect area to prevent recurrences. The patient’s postoperative period was uneventful, and she was discharged on the second postoperative day. Small bowel strangulation is more seen in transomental hernia than in other internal hernia types. So it is related to high morbidity and mortality. Surgery should not be delayed to reduce complications.
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spelling pubmed-99414342023-02-22 A Spontaneous Transomental Hernia: A Rare Cause of Bowel Obstruction Ergenç, Muhammer Uprak, Tevfik Kıvılcım Iran J Public Health Case Report Internal hernias (IH) are rare situations that account for 0.5–3% of all cases of intestinal obstruction. Transomental hernia is a rare subtype, hardly diagnosed, and represents approximately only 2% of internal hernias. In 2018, a 41-year-old female patient presented to Marmara University Hospital emergency service with abdominal pain, nausea, and vomiting. Her medical history included asthma, and she had no abdominal surgery. With the preliminary diagnosis of small bowel obstruction, laparotomy was done and showed a loop of ileum was herniated through into an unusual defect of the omentum. The obstructed loop of the small intestine into the hernia site was reduced. It was seen as viable, so no resection was necessitated. We divided the greater omentum into two parts from the edge of the defect area to prevent recurrences. The patient’s postoperative period was uneventful, and she was discharged on the second postoperative day. Small bowel strangulation is more seen in transomental hernia than in other internal hernia types. So it is related to high morbidity and mortality. Surgery should not be delayed to reduce complications. Tehran University of Medical Sciences 2023-01 /pmc/articles/PMC9941434/ /pubmed/36824238 http://dx.doi.org/10.18502/ijph.v52i1.11683 Text en Copyright ©2023 Ergenç et al. Published by Tehran University of Medical Sciences https://creativecommons.org/licenses/by-nc/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International license (https://creativecommons.org/licenses/by-nc/4.0/). Non-commercial uses of the work are permitted, provided the original work is properly cited.
spellingShingle Case Report
Ergenç, Muhammer
Uprak, Tevfik Kıvılcım
A Spontaneous Transomental Hernia: A Rare Cause of Bowel Obstruction
title A Spontaneous Transomental Hernia: A Rare Cause of Bowel Obstruction
title_full A Spontaneous Transomental Hernia: A Rare Cause of Bowel Obstruction
title_fullStr A Spontaneous Transomental Hernia: A Rare Cause of Bowel Obstruction
title_full_unstemmed A Spontaneous Transomental Hernia: A Rare Cause of Bowel Obstruction
title_short A Spontaneous Transomental Hernia: A Rare Cause of Bowel Obstruction
title_sort spontaneous transomental hernia: a rare cause of bowel obstruction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9941434/
https://www.ncbi.nlm.nih.gov/pubmed/36824238
http://dx.doi.org/10.18502/ijph.v52i1.11683
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