TRANSOMENTAL HERNIA PREOPERATIVELY DIAGNOSED AS INTERNAL HERNIA-A CASE REPORT

• Published in: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 61; no. 1; pp. 193 - 197
• Main Authors: YOSHIDA, Tohru, TSUKADA, Kazuhiro, NOMOTO, Kazuhiro, TSUZAWA, Toyoichi, MIURA, Fujio, SAITOH, Juichi
• Format: Journal Article
• Language: English
• Published: Japan Surgical Association 2000
• ISSN: 1345-2843; 1882-5133; 1882-5133
• DOI: 10.3919/jjsa.61.193

We encountered a case of transomental hernia that was diagnosed preoperatively as an internal hernia. An 84-year-old woman was referred to our hospital by a nearby practitioner because of right lateral abdominal pain and vomiting. There was no previous history of laparotomy. A plain X-ray of the abdomen showed a fluid level, and we made a diagnosis of bowel obstruction. Conservative treatment by insertion of a long-tube was performed. As double stenosis of the small intestine was detected by long-tube enterogram, therefore, laparotomy was carried out under a diagnosis of ileus due to internal hernia. At surgery, the small intestine was herniated through the abdominal hiatus of the greater omentum. One intestinal loop was strangulated, but not necrotized. The strangulation was released and the abdominal hiatus was opened, and intestinal resection was not required. We think that the long-tube enterogram provided important information in this case, which could be performed by radical laparoscopic surgery.