Transomental hernia

Case contributed by Dr Maxymyshyn Nazar

Presentation

Right flank pain for 1 day. Normal blood test.Previous history of appendectomy

Patient Data

Age: 70
Gender: Female
CT

CT shows defect at mesocolon with protrusion of small bowel loops through the defect. Herniated small bowel loops are hypoperfused, small bowel mesentery with fat stranding. Afferent small bowel loops distended with air-fluid levels. 

Final: Transomental internal hernia complicated by small bowel obstruction and strangulation

Annotated image

CT shows defect at mesocolon with protrusion of small bowel loops through the defect.  

Case Discussion

An internal hernia is a type of hernia in which visceral organs protrude through a defect in the mesentery. One type of internal hernia is a transomental hernia, which occurs when visceral organs protrude through a defect in mesocolon. The defect can be congenital or acquired in origin. 

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Case information

rID: 63594
Published: 16th Oct 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Ternopil Emergency Hospital

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