Closed loop small bowel obstruction due to trans-omental herniation

Discussion:

This case of closed loop small bowel obstruction was found to be due to transomental herniation at operation. Although the mesenteric vascular congestion and the amount of free fluid was concerning on CT for ischemia, the bowel was not ischemic at operation and the patient had an uneventful recovery without the need for bowel resection.  

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