A RARE CASE OF TRANSOMENTAL HERNIA

Abstract

Abstract :
A rare presentation of small bowel obstruction as
TRANSOMENTAL Herniation through a rent in the free
hanging omentum. Few cases have been reported worldwide.
A diagnosis of exclusion with necessity of high index of
suspicion especially in a virgin abdomen with prior vague
episodes of pain abdomen and spontaneous resolution of
symptoms especially in elderly and frail individuals. Most
causes are idiopathic and more recently iatrogenic with
increasing incidence due to laparoscopic injury to the
omentum unrecognized in the primary procedure. Diagnosis
is also by a D-LAP when available. Early diagnosis leads to
lesser morbidity avoiding resection if intervened early prior to
strangulation. Rarer forms of herniation limited to the lesser
sac need thorough search by accessing the lesser sac also.
Keyword :Transomental herniation acute small bowel
obstruction elderly