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KMID : 0614620220800040186
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Korean Journal of Gastroenterology
2022 Volume.80 No. 4 p.186 ~ p.189
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Small Bowel Obstruction Caused by Spontaneous Transomental Hernia: A Case Report
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Ahn So-Ra
Kim Keun-Young
Lee Joo-Hyun
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Abstract
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An internal hernia is a protrusion of visceral contents through a defect in the mesentery or peritoneum. Small bowel obstruction is a common clinical presentation of internal hernias, accounting for 4.1% of all intestinal obstructions. Transomental hernia is a rare type of internal hernia (1-4% of internal hernias), with non-specific symptoms, making its preoperative diagnosis difficult. It is strangulated more frequently, and the postoperative mortality rate is high (30%). Therefore, early diagnosis and management are crucial.
We report a case of a 77-year-old female who presented with small bowel obstruction, and a suspected incarcerated internal hernia on abdomen-pelvis CT. A spontaneous transomental hernia was confirmed on emergency laparotomy.
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KEYWORD
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Internal hernia, Intestinal obstruction, Omentum
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