Annals of Coloproctology

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Spontaneous Transomental Hernia: Seung Hun Lee, Seung Hyun Lee; Ann Coloproctol. 2016;32(1):38-41. Published online February 29, 2016; DOI: https://doi.org/10.3393/ac.2016.32.1.38

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A transomental hernia through the greater or lesser omentum is rare, accounting for approximately 4% of internal hernias. Transomental hernias are generally reported in patients aged over fifty. In such instances, acquired transomental hernias are usual, are commonly iatrogenic, and result from surgical interventions or from trauma or peritoneal inflammation. In rare cases, such as the one described in this study, internal hernias through the greater or lesser omentum occur spontaneously as the result of senile atrophy without history of surgery, trauma, or inflammation. A transomental hernia has a high postoperative mortality rate of 30%, and emergency diagnosis and treatment are critical. We report a case of a spontaneous transomental hernia of the small intestine causing intestinal obstruction. An internal hernia with strangulation of the small bowel in the lesser sac was suspected from the image study. After an emergency laparotomy, a transomental hernia was diagnosed.

Citations

Citations to this article as recorded by

Spontaneous transomental hernia: a rare cause of closed loop bowel obstruction
Caitlin Zhang, Marie Shella De Robles
Journal of Surgical Case Reports.2025;[Epub] CrossRef
Real‐time ancillary diagnostics for intraoperative assessment of intestinal viability in horses–looking for answers across species
Nicole Verhaar, Florian Geburek
Veterinary Surgery.2025; 54(4): 648. CrossRef
CT imaging of a rare combined internal hernia traversing the lesser sac via the gastrocolic ligament and foramen of Winslow
Quanxu Ge, Peixia Cong
Egyptian Journal of Radiology and Nuclear Medicine.2025;[Epub] CrossRef
Congenital transmesocolic internal hernia as a cause of sudden death – autopsy case report
Veljko Milošević, Milenko Bogdanović, Milena Kontić-Žarčanin, Tijana Petrović, Bojana Radnić
Legal Medicine.2025; 79: 102732. CrossRef
Spontaneous transomental hernia: a case report of a rare internal hernia with a challenging diagnosis
Mohamed Ben Khalifa, Mossaab Ghannouchi, Achref Sarraj, Sabri Aouadi, Mohamed Maatouk, Moez Boudokhane
Annals of Medicine & Surgery.2024; 86(11): 6865. CrossRef
Case Report: A small bowel occlusion revealed by a strangulated transomental hernia
AHMED MENIF, SOUHAIB ATRI, WASSIM RIAHI, HELMI ZEBDA
F1000Research.2024; 13: 1394. CrossRef
Internal Hernia: An Uncommon and Often-Missed Differential Diagnosis of Abdominal Pain
Chaitanya Mishra, Khawaja O Omar
Cureus.2024;[Epub] CrossRef
Transomental Hernia: Rare Presentation in a Virgin Abdomen
Asiyah Shafi, Fatema Karmustaji, Muhammad Umar Younis, Monis Ahmed, Roger Gergy
Cureus.2024;[Epub] CrossRef
Lesser omental hernia through a defect in the posterior layer of the lesser omentum
Hirotaka Shibuya, Keita Sato, Yosuke Yamauchi, Yoshihisa Tamura, Koji Takahashi, Yasushi Asari
Surgical Case Reports.2023;[Epub] CrossRef
Spontaneous lesser omental herniation resolved by laparoscopic surgery: case report and systematic literature review
André S. Alves, Alexandre Balaphas, Katie Zuo, Philipp Hauser, Angeliki Neroladaki, Toni Raffoul
Surgical Endoscopy.2023; 37(9): 6704. CrossRef
Strangulated transomental hernia in virgin abdomen: laparoscopic surgery with a small laparotomy may be useful to assess the indeterminate viability of the bowel
Toyoaki Sawano, Tomohiro Kurokawa, Akihiko Ozaki, Divya Bhandari, Mioko Furuya, Yoshiaki Kanemoto, Masaharu Tsubokura, Tomozo Ejiri, Norio Kanzaki
Journal of Surgical Case Reports.2022;[Epub] CrossRef
Small Bowel Obstruction Caused by Spontaneous Transomental Hernia: A Case Report
So Ra Ahn, Keun Young Kim, Joo Hyun Lee
The Korean Journal of Gastroenterology.2022; 80(4): 186. CrossRef
Transomental hernia – An enigmatic case report causing bowel obstruction in a virgin abdomen
Latifa Al Buainain, Kiran B. Kaundinya, Faizal N. Hammed
International Journal of Surgery Case Reports.2020; 66: 88. CrossRef
Laparoscopic surgery for two patients with strangulated transomental hernias
Yuka Fujimoto, Yuki Ohya, Shintaro Hayashida, Masayoshi Iizaka, Yuto Maeda, Sayahito Kumamoto, Akira Tsuji, Hidekatsu Shibata, Kunitaka Kuramoto, Hironori Hayashi, Osamu Nakahara, Shinjiro Tomiyasu, Yukihiro Inomata
Surgical Case Reports.2020;[Epub] CrossRef
Displacement of the transverse colon is a highly specific computed tomography finding for the preoperative diagnosis of a transomental hernia
Ryota Ito, Kazuhiko Mori, Keisuke Minamimura, Toru Hirata, Takashi Kobayashi, Seiji Kawasaki
Japanese Journal of Radiology.2019; 37(8): 605. CrossRef

Multiple Glomus Tumors of the Omentum: Won Beom Jung, In Ja Park, Joon Seon Song, Kyung-Ja Cho, Jin Cheon Kim; Ann Coloproctol. 2015;31(4):153-156. Published online August 31, 2015; DOI: https://doi.org/10.3393/ac.2015.31.4.153

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Abstract PDF: A glomus tumor is a very rare neoplasm consisting of cells that resemble the modified smooth muscle cells of normal glomus bodies. Here, we report a case of a 39-year-old male with multiple omental glomus tumors. The patient underwent a complete resection of the glomus tumors. This is a rare case of omental glomus tumors, and to our knowledge, this patient is the first with multiple omental glomus tumors to be described.

A Case of Actinomycosis of the Greater Omentum.: Chae, Gooy Hun , So, Byung Jun , Lee, Jeong Kyun , Yun, Ki Jung , Lee, Kyung Keun; J Korean Soc Coloproctol. 1999;15(2):145-149.

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3 Download

Abstract PDF: Actinomycosis is a chronic suppurative bacterial infection produced by Actinomyces israeli. The three major clinical presentation include the cervicofacial, thoracic, and abdominal regions. Abdominal actinomycosis is a rare entity which presents some difficulty in establishing a correct preoperative diagnosis. The diagnosis is usually based on histologic demonstration of sulfur granules in pus or surgically resected specimen. Recently, authors experienced a case of actinomycosis of the greater omentum in 38-years old woman. The patient underwent surgery under the impression of periappendiceal abscess. A 6cm sized firm mass was noted in the transverse colon. Histologically the mass was composed of fibroinflammatory mass with multiple actinomycosis granules.

Original Article

Primary Oriental Torsion.: Lee, Do Sang , Kang, Byung Du , Song, Moo Hyung , Kim, Wook , Park, Il Young; J Korean Soc Coloproctol. 1997;13(3):523-528.

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Abstract PDF: Primary omental torsion is a rare condition and its etiology and pathogenesis remain unknown. It is very difficult even for general surgeon to differentiate this from other acute abdominal diseases, and so the most common preoperative diagnosis is acute appendicitis and the treatment of choice is resection of the affected organ. The authors experienced 7 cases of primary omental torsion at Holy Family Hospital since 1990 and review them retrospectively with other literatures. We conclude that omental torsion must be tried to find if there is serosanguious fluid or undescended omentum without pathology in peritoneal cavity during the emergency operation.

Case Report

A Case of Omental Actinomycosis.: Lee, Do Sang , Song, Moo Hyung , Kim, Wook , Park, Il Young , Im, Keun Woo; J Korean Soc Coloproctol. 1997;13(2):273-278.

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1 Download

Abstract PDF: Actinomycosis is relatively rare infection which is produced by an anaerobic organism, actinomycetes, normally residing in the mouth, bowel and female genital tract. This disease is characterized by chronic inflammatory induration with abscess and multiple sinus formation. In most cases, the onset of this is preceded by an inflammatory or traumatic history on abdomen but diagnosis can't be made until operation. Recently this disease is treated with antimicrobial therapy and wide surgical excision. We experienced a case of omental actinomycosis and report it with brief review of literatures.

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